Rochelle Family Health Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROCHELLE FAMILY HEALTH CARE

Practice address

822 N 2ND St
Rochelle, IL 61068-1766

Phone

(815) 562-3784

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pitamber PersaudNPI 1265489108

Title

MD Owner

Phone

(815) 562-3784

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pitamber Persaud, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1265489108
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376698332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4474",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611100974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N 2ND ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681766",
            "telephone_number": "815-562-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHELLE FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "PITAMBER",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "815-562-3784"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0007132022",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Community Hospital Association (Family Healthcare Clinic)
• Rochelle Community Hospital Association
• Rochelle Community Hospital Association
• Rochelle Community Hospital Association
• Rochelle Elem Dist 231
• Rochelle Family Health Care Inc.
• Rochelle Nursing and Rehab Center LLC (La Bella of Rochelle)
• Rochelle TWP HS Dist 212
• Veronica Rodriquez
• Michelle Rogers

• Family Medicine Physician in Rochelle, IL
• Providers in Rochelle, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.