Active NPI
Chris R Rosenquist, M.D.
- Obstetrics & Gynecology Physician
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- R5J73
- Practice address
- 1111 N Mount Auburn Rd
Cape Girardeau, MO 63701-3437 - Phone
- (573) 339-1101
- Fax
- (573) 339-1737
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R5J73 | MO | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 31341 | KY |
Addresses
Primary practice location
1111 N Mount Auburn Rd
Cape Girardeau, MO 63701-3437
Mailing address
1111 N Mount Auburn Rd
Cape Girardeau, MO 63701-3437
Phone (573) 339-1101
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135347 | Other | MO | HEALTHLINK |
| 202662417 | Medicaid | MO | |
| 31341 | Other | KY | STATE LICENSE |
| 117028 | Other | MO | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Missouri, Columbia School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822
650 S Mount Auburn Rd
Suite 200
Cape Girardeau, MO 63703-4941
Phone (573) 339-1101
Hospital & facility affiliations
- Mercy Hospital Southeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31341 | KY | MD | Obstetrics & Gynecology Physician |
| R5J73 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Hospital | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
650 S Mount Auburn Rd
Ste 200
Cape Girardeau, MO 63703
Phone (573) 339-1101
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1111 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 332-6000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1174525539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637013437",
"telephone_number": "573-339-1101",
"fax_number": "573-339-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637013437",
"telephone_number": "573-339-1101",
"fax_number": "573-339-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENQUIST",
"first_name": "CHRIS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "R5J73",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "31341",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "135347",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202662417",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "31341",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "117028",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.