Active NPI
Mark H Rossing, MD
- Psychiatry Physician
- Oconomowoc, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 33425
- Practice address
- 888 Thackeray Trail
#211
Oconomowoc, WI 53066-4641 - Phone
- (262) 567-1122
- Fax
- (262) 567-1481
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 33425 | WI | Primary |
Addresses
Primary practice location
888 Thackeray Trail
#211
Oconomowoc, WI 53066-4641
Mailing address
888 Thackeray Trail
#211
Oconomowoc, WI 53066-4641
Phone (262) 567-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31875700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Psychiatry
- Education
- Medical College of Wisconsin, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
34700 Valley Rd
Oconomowoc, WI 53066-4500
Phone (262) 646-4411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33425 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogers Memorial Hospital Incorporated | Current | Accepting new patients | |
| Mark H Rossing MDSC | Psychiatry | Past | Accepting new patients |
| New Life Resources, Inc. | Psychiatry | Past | Accepting new patients |
| Credence Therapy Associates Inc | Past | Accepting new patients | |
| Shore Counseling and Consulting Clinic, S.C. | Past | Accepting new patients | |
| Andrew J. Schroettner, MDSC | Psychiatry | Past | Accepting new patients |
Locations
1205 Corporate Center Dr
Oconomowoc, WI 53066
Phone (262) 567-4828
1230 Corporate Center Dr
Ste 400
Oconomowoc, WI 53066
Phone (262) 560-1527
34700 Valley Rd
Oconomowoc, WI 53066
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rogers Behavioral Health
- Psychiatric Hospital
- Oconomowoc, WI
- NPI 1053329581
-
- Psychiatry Physician
- Oconomowoc, WI
- NPI 1063620847
-
- Psychiatry Physician
- Oconomowoc, WI
- NPI 1790992170
-
dba Credence Therapy Associates
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkhorn, WI
- NPI 1487648663
-
- Psychiatry Physician
- Waukesha, WI
- NPI 1225061997
-
- Group Psychotherapy Psychologist
- Milwaukee, WI
- NPI 1588710073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184659591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 THACKERAY TRAIL",
"address_2": "#211",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530664641",
"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 TRAIL",
"address_2": "#211",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530664641",
"telephone_number": "262-567-1122",
"fax_number": "262-567-1481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSING",
"first_name": "MARK",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_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
- Rogers Behavioral Health - Wisconsin SC (Rogers Behavioral Health Practice - Wisconsin SC)
- Rogers Memorial Hospital Incorporated (Rogers Behavioral Health)
- Rogers Memorial Hospital, Inc.
- Laura Ronowski, MS/CCC-SLP
- Roots Counseling and Consulting, LLC
- Roundys
- Roundys Supermarkets Inc (Pick N Save Pharmacy)
- Roundys Supermarkets Inc (Pick N Save Pharmacy)
- Angelica M Rowin-Fox, FNP
- Kim R. Ruffalo, OTR, CLT-LANA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.