Active NPI
Craig Rosenberg, M.D., FACP, FACEP
- Emergency Medicine Physician
- Alton, IL
National Provider Identifier
1346267978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Practice address
- 1 Memorial Dr
Alton, IL 62002-6722 - Phone
- (217) 464-2966
- NPI assigned
- Jul 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01047663A | IN | |
| Emergency Medicine Physician | 207P00000X | IL | Primary |
Addresses
Primary practice location
1 Memorial Dr
Alton, IL 62002-6722
Mailing address
75 Remit Drive
Lockbox 1876
Chicago, IL 60675-1876
Phone (866) 916-5259
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 |
|---|---|---|---|
| 036-071986 | IL | MD | Emergency Medicine Physician |
| 01047663A | IN | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1346267978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMIT DRIVE",
"address_2": "LOCKBOX 1876",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606751876",
"telephone_number": "866-916-5259",
"fax_number": "231-922-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL DR",
"city": "ALTON",
"state": "IL",
"postal_code": "620026722",
"telephone_number": "217-464-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "CRAIG",
"credential": "M.D., FACP, FACEP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01047663A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.