Enrique Rodriguez, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

36039513 Issued in IL

Practice address

28 N 64TH St
Belleville, IL 62223-3808

Phone

(908) 653-9399

Fax

(908) 653-9305

NPI assigned

Mar 5, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Anesthesia Inc.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1285717587
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801925888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822344",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191822344",
            "telephone_number": "314-991-0985",
            "fax_number": "908-653-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233808",
            "telephone_number": "908-653-9399",
            "fax_number": "908-653-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "36039513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "36039513",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Elizabeth Roberts, MEDICAL ASSISTANT
• Mocha Lee Robinson, MPT
• Shalisha Robinson
• Julie Rodemich
• Deanna L. Rodenberg, NP
• Guillermo Rodriguez Jr., MD
• Christina Marie Rogers, RD
• Angela Michelle Rohn, MS CCCSLP
• Laequah Rollins
• Eric Rolves, ATC

• Anesthesiology Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.