Carol J Rowe, MD – Pediatrics Physician

Key facts

NPI: 1922074764
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: MD00044142 (WA)
Practice address: 311 W. Fairchild Street
Pediatrics
Danville, IL 61832
Phone: (217) 431-7800
Fax: (217) 431-7634
NPI assigned: Feb 23, 2006
Sex: Female
Sole proprietor: No

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.

Carle Health Care Incorporated Internal Medicine Physician · Urbana, IL · NPI 1154653947

NPD (past)
Gibson Community Hospital Association Critical Access Hospital · Gibson City, IL · NPI 1114935681

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD00044142	WA	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Carle Health Care Incorporated		Past	Accepting new patients
Gibson Community Hospital Association		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	MD00044142	WA	Yes

Addresses

Primary practice location

311 W. Fairchild Street
Pediatrics
Danville, IL 61832

Mailing address

P.O. Box 6002
Urbana, IL 61803-6002
Phone (217) 326-8300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2012.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1922074764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6002",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618036002",
            "telephone_number": "217-326-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W. FAIRCHILD STREET",
            "address_2": "PEDIATRICS",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-431-7800",
            "fax_number": "217-431-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00044142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

All providers in Danville, IL · Pediatrics Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.