Provider Demographics
NPI:1154335099
Name:CLASSI, ROSE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ROSE MARIE
Middle Name:
Last Name:CLASSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3842
Mailing Address - Street 2:1125 TROUPE STREET
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30914-3842
Mailing Address - Country:US
Mailing Address - Phone:706-737-4575
Mailing Address - Fax:706-731-5289
Practice Address - Street 1:1125 TROUPE ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-4480
Practice Address - Country:US
Practice Address - Phone:067-737-4575
Practice Address - Fax:706-731-5289
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046748207LP2900X, 207LP3000X, 207L00000X, 207LA0401X, 174400000X, 207LC0200X, 207LH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No174400000XOther Service ProvidersSpecialist
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207LH0002XAllopathic & Osteopathic PhysiciansAnesthesiologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
114003OtherBCBS-GA
050079754OtherRR MEDICARE
235002300OtherACS / US DOL
GA000815911BMedicaid
GAF31493Medicare UPIN
GA000815911BMedicaid