Active NPI
Rosemary L. D'Agostino, M.D.
- Pediatrics Physician
- Waterville, OH
National Provider Identifier
1154536944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35059275
- Practice address
- 1089 Pray Blvd
Waterville, OH 43566-8712 - Phone
- (567) 952-2100
- Fax
- (567) 952-2101
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35059275 | OH | Primary |
Addresses
Primary practice location
1089 Pray Blvd
Waterville, OH 43566-8712
Mailing address
1089 Pray Blvd
Waterville, OH 43566-8712
Phone (567) 952-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35059275 | Other | OH | OHIO LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35059275 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1154536944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1089 PRAY BLVD",
"city": "WATERVILLE",
"state": "OH",
"postal_code": "435668712",
"telephone_number": "567-952-2100",
"fax_number": "567-952-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 PRAY BLVD",
"city": "WATERVILLE",
"state": "OH",
"postal_code": "435668712",
"telephone_number": "567-952-2100",
"fax_number": "567-952-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGOSTINO",
"first_name": "ROSEMARY",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35059275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO LICENSE",
"identifier": "35059275",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.