Mundo F. Rosales, M.D. P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01061216A Issued in IN

Legal business name

MUNDO F. ROSALES, M.D. P.C.

Practice address

2512 Q St
Suite B
Bedford, IN 47421-4928

Phone

(812) 277-0075

Fax

(812) 277-0089

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly R. Rosales

Title

Office Manager

Phone

(812) 277-0075

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Raymundo Federico Rosales II, M.D.

  • Specialist
  • Bedford, IN
  • NPI 1245255959
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1902085699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474210324",
            "telephone_number": "812-277-0075",
            "fax_number": "812-277-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 Q ST",
            "address_2": "SUITE B",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214928",
            "telephone_number": "812-277-0075",
            "fax_number": "812-277-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDO F. ROSALES, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-277-0075",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01061216A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000594475",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200528920",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200528920A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Moriarity
• Katherine Mork, OTR/L
• Tina Morrow, OT
• Reagan Mosier
• Amy Mottley, L.P.C.C.
• David C Murphy, DO
• Maha Muzaffar, PHARMD
• Amanda Napier, NP
• Piper Carol Narey, DDS
• Dianna L. Naylor, LMHC

• Surgery Physician in Bedford, IN
• Providers in Bedford, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.