Active NPI
Mark H Rossing MDSC
- Psychiatry Physician
- Oconomowoc, WI
National Provider Identifier
1063620847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 33425
- Legal business name
- MARK H ROSSING MDSC
- Practice address
- 888 Thackeray TRL
Suite 211
Oconomowoc, WI 53066-4342 - Phone
- (262) 567-1122
- Fax
- (262) 567-1481
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark H Rossing, MD
- Title
- Owner
- Phone
- (262) 567-1122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 33425 | WI | Primary |
Addresses
Primary practice location
888 Thackeray TRL
Suite 211
Oconomowoc, WI 53066-4342
Mailing address
888 Thackeray TRL
Suite 211
Oconomowoc, WI 53066-4342
Phone (262) 567-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31875700 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Oconomowoc, WI
- NPI 1184659591
-
- Clinical Social Worker
- Oconomowoc, WI
- NPI 1730261694
-
- Social Worker
- Oconomowoc, WI
- NPI 1366460115
-
- Psychiatry Physician
- Oconomowoc, WI
- NPI 1043245459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063620847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 THACKERAY TRL",
"address_2": "SUITE 211",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530664342",
"telephone_number": "262-567-1122",
"fax_number": "262-567-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 THACKERAY TRL",
"address_2": "SUITE 211",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530664342",
"telephone_number": "262-567-1122",
"fax_number": "262-567-1481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK H ROSSING MDSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROSSING",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-567-1122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "33425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31875700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.