Active NPI
Roland Folse, MD
- Surgery Physician
- Springfield, IL
National Provider Identifier
1881943678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036-044980
- Practice address
- 2 Virginia Lane
Springfield, IL 62712 - Phone
- (217) 529-2940
- Fax
- (217) 529-2940
- NPI assigned
- Sep 7, 2012
- Last updated
- Sep 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036-044980 | IL | Primary |
Addresses
Primary practice location
2 Virginia Lane
Springfield, IL 62712
Mailing address
2 Virginia Lane
Springfield, IL 62712
Phone (217) 529-2940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-044980 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1881943678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 VIRGINIA LANE",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62712",
"telephone_number": "217-529-2940",
"fax_number": "217-529-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 VIRGINIA LANE",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62712",
"telephone_number": "217-529-2940",
"fax_number": "217-529-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLSE",
"first_name": "ROLAND",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-044980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
- Elizabeth Flynn
- Sherry Flynn, LCSW
- Focal Point Behavioral Health PLLC
- Fawn Ann Folkerts, EC SPE ED TEACHER
- Patricia Jean Follin, LCPC
- Rodrigue Fontem, MD
- Foot & Ankle Associates of Central Il LLC
- Foot & Ankle Associates of Central Il LLC
- Foot & Ankle Center of Illinois PC
- Foot and Ankle Associates of Central Illinois LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.