# CHARLES R ROST

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033106950
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD030935E | PA | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 04/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009501550004 | — | PA |
| 01 | — | 01598802 | CAPITAL BLUE CROSS | PA |
| 01 | — | 124951 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 1519063 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 33609 | AMERIHEALTH MERCY HEALTH | PA |
| 01 | — | 4347043 | AETNA NON-HMO | PA |
| 01 | — | 578996 | AETNA HMO | PA |
| 01 | — | C30914 | HEALTH ASSURANCE | PA |