Jose P Dela Rosa MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301052242 Issued in MI

Legal business name

JOSE P DELA ROSA MD

Practice address

203 Paluster Street
Cadillac, MI 49601

Phone

(231) 779-9960

Fax

(231) 779-8945

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Jose P Dela Rosa, MDNPI 1578591327

Title

Medical Director

Phone

(231) 779-9960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jose P De la Rosa Jr., MD

  • Nephrology Physician
  • Cadillac, MI
  • NPI 1578591327
  NPD (past) Authorized official

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1780876409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PALUSTER STREET",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "49601",
            "telephone_number": "231-779-9960",
            "fax_number": "231-779-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PALUSTER STREET",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "49601",
            "telephone_number": "231-779-9960",
            "fax_number": "231-779-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE P DELA ROSA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "DELA ROSA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "231-779-9960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301052242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK6820",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Johnson, LPC
• Zachary Johnson, DPT
• Amanda Lyn Johnston, O.D.
• Shelby Jones-Stachnik, TLLP
• Hannah Marie Jones, PT, DPT
• Joseph T Trubiroha OD LLC
• Stacey Marie Hiltz Kaminski, LPC
• Devon Andrew Kamphouse
• William Steven Karl, RPH
• Roger M Karsten, PT

• Nephrology Physician in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.