Rose Medical Association, Inc.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

036-059239 Issued in IL

Legal business name

ROSE MEDICAL ASSOCIATION, INC.

Practice address

209 W Romeo B Garrett Ave
Peoria, IL 61605-2502

Phone

(309) 686-1600

Fax

(309) 686-1605

NPI assigned

Jul 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ernest C. Rose, MDNPI 1841336195

Title

Medical Director / Ceo

Phone

(309) 686-1600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernest C Rose, M.D.

  • Addiction Medicine (Anesthesiology) Physician
  • Chicago, IL
  • NPI 1841336195
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144741844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W ROMEO B GARRETT AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052502",
            "telephone_number": "309-686-1600",
            "fax_number": "309-686-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W ROMEO B GARRETT AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616052502",
            "telephone_number": "309-686-1600",
            "fax_number": "309-686-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MEDICAL ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / CEO",
        "authorized_official_telephone_number": "309-686-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IL",
            "license": "036-059239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Rooney, HIS
• Alexandra Roper, MD
• Christina Marie Ropp, PT, GCS
• Luis Roberto Rosario, MD
• Kristopher Carson Rosburg, MD
• Elizabeth Ann Rose, DO
• Lisa Ann Rose, RD, LDN
• Melvin C Rose, D.C.
• Jenae Roseland, ARNP
• Kaylee Rosenbaum

• Addiction Medicine (Psychiatry & Neurology) Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.