Active NPI
Mary Pat Rosman, DO
- Family Medicine Physician
- Sumner, IA
National Provider Identifier
1447211412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2054
- Practice address
- 909 W 1St St
Sumner, IA 50674-1203 - Phone
- (563) 578-3244
- Fax
- (563) 578-3247
- NPI assigned
- Mar 30, 2006
- Last updated
- Jan 15, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2054 | IA | Primary |
Addresses
Primary practice location
909 W 1St St
Sumner, IA 50674-1203
Mailing address
PO Box 268
909 W 1 St
Sumner, IA 50674-0268
Phone (563) 578-3244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0226738 | Medicaid | IA |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2054 | IA | MD | Family Medicine Physician |
| 02054 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumner Community Club | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- mary.rosman@avera.sdhealthlink.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Sumner, IA
- NPI 1538120506
-
dba Community Memorial Hospital
- Critical Access Hospital
- Sumner, IA
- NPI 1780684548
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1447211412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268",
"address_2": "909 W 1 ST",
"city": "SUMNER",
"state": "IA",
"postal_code": "506740268",
"telephone_number": "563-578-3244",
"fax_number": "563-578-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 W 1ST ST",
"city": "SUMNER",
"state": "IA",
"postal_code": "506741203",
"telephone_number": "563-578-3244",
"fax_number": "563-578-3247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSMAN",
"first_name": "MARY",
"middle_name": "PAT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "2054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0226738",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumner, IA
- Northeast Iowa Rural Care Solutions (Slainte Foundation dba Northeast Iowa Rural Care Solutions)
- Northland Hearing Centers, Inc. (Hearing Unlimited)
- P and B Eye Care, LLC
- Janice Maureen Pleggenkuhle, RD LD
- Ann E Reid, PAC
- Ted Le Schwarm, M.D.
- Celine T Schweer, PHARMD
- Serenity Counseling Wellness, LLC
- Timothy Andrew Sexton
- Kelly Dianne Shea, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.