Roger Hilbert, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036041327 Issued in IL

Practice address

1400 Charles St
Rockford, IL 61104-2224

Phone

(815) 489-4267

Fax

(815) 966-3967

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1457323628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15785",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611325785",
            "telephone_number": "815-654-7772",
            "fax_number": "815-654-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CHARLES ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042224",
            "telephone_number": "815-489-4267",
            "fax_number": "815-966-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILBERT",
        "first_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036041327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036041327",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Highland Park CVS, L.L.C.
• Highland Park CVS, L.L.C.
• Highland Park CVS, L.L.C.
• Deborah Hightower
• Highway Ryders Trucking
• Kristal Hildebrand, OTR/L
• Amy K Hill, ACNS-BC
• Catherine L Hill
• Gary Robert Hill, CF-SLP
• Kemper Lynn Hill, LCPC

• All providers in Rockford, IL
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.