Roberta Edmundson Rose M D Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

01029953A Issued in IN

Legal business name

ROBERTA EDMUNDSON ROSE M D INC

Practice address

800 E Center St
Warsaw, IN 46580-3325

Phone

(574) 269-5221

Fax

(574) 269-5580

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Roberta Edmundson Rose, M.D.

Title

President

Phone

(574) 269-5221

Specialties & licenses 2

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Roberta Edmundson Rose MD Inc

  • Durable Medical Equipment & Medical Supplies
  • Warsaw, IN
  • NPI 1689899585
  NPPES parent name

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1528286283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1222",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465811222",
            "telephone_number": "574-269-5221",
            "fax_number": "574-269-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CENTER ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803325",
            "telephone_number": "574-269-5221",
            "fax_number": "574-269-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA EDMUNDSON ROSE M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "EDMUNDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-269-5221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01029953A",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR FECA",
            "identifier": "128983500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colin Michael Ridenour, MD
• Leslie Ringger, MA
• Amanda Rink
• Ashley Ritchey, BCBA
• Riverview Hospital
• Roberta Edmundson Rose MD Inc
• Amie L Roberts, FNP-C
• Heather S Roberts, RPH
• Julie Robinson
• Kathleen Anne C. Rocco, MD

• Orthopaedic Surgery Physician in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.