Individual provider Active NPI

Jeffrey M Rosch, M.D.

  • Allergy & Immunology Physician
  • Hollidaysburg, PA
National Provider Identifier
1922007939
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD439200 Issued in PA
Practice address
800 South Logan Boulevard
Suite 3200
Hollidaysburg, PA 16648-3050
Phone
(814) 944-2097
Fax
(814) 941-2303
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD015039E PA
Allergy & Immunology Physician 207K00000X MD439200 PA Primary

Addresses

Primary practice location

800 South Logan Boulevard
Suite 3200
Hollidaysburg, PA 16648-3050

Mailing address

800 South Logan Boulevard, Suite 3200
Hollidaysburg, PA 16648-3050
Phone (814) 944-2097

Other identifiers 2

IdentifierTypeStateIssuer
0006188300004MedicaidPA
1031084300001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000209 PA Practitioner - Allergy/Immunology 9133161334 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD439200PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Pennsylvania Asthma and Allergy Care, LLC Specialist CurrentSince Jul 1, 2007 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

800 S Logan Blvd
Ste 3200
Hollidaysburg, PA 16648
Phone (814) 944-2097

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1922007939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SOUTH LOGAN BOULEVARD, SUITE 3200",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483050",
            "telephone_number": "814-944-2097",
            "fax_number": "814-941-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SOUTH LOGAN BOULEVARD",
            "address_2": "SUITE 3200",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483050",
            "telephone_number": "814-944-2097",
            "fax_number": "814-941-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCH",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD015039E",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD439200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006188300004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031084300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

Verify at the official NPI Registry.