Organization Active NPI

Thomas Rohde, M.D., LTD

  • Health Service Clinic/Center
  • Decatur, IL
National Provider Identifier
1447459540
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
036081038 Issued in IL
Legal business name
THOMAS ROHDE, M.D., LTD
Practice address
3798 E Fulton Ave
Decatur, IL 62521-5053
Phone
(217) 864-2700
Fax
(217) 864-3930
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Dr. Thomas W. Rohde, M.D.
Title
President
Phone
(217) 864-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 036081038 IL Primary

Addresses

Primary practice location

3798 E Fulton Ave
Decatur, IL 62521-5053

Mailing address

3798 E Fulton Ave
Decatur, IL 62521-5053
Phone (217) 864-2700

National Provider Directory

National Provider Directory

Locations

3798 E Fulton Ave
Decatur, IL 62521
Phone (217) 864-2700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1447459540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 E FULTON AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215053",
            "telephone_number": "217-864-2700",
            "fax_number": "217-864-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 E FULTON AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215053",
            "telephone_number": "217-864-2700",
            "fax_number": "217-864-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS ROHDE, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "ROHDE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-864-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "036081038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.