Active NPI
Martin H Roseff, MD
- Otolaryngology Physician
- Terre Haute, IN
National Provider Identifier
1942311824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01028433A
- Practice address
- 1429 N 6TH St
Terre Haute, IN 47807-1037 - Phone
- (812) 242-3170
- Fax
- (812) 235-3330
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01028433A | IN | Primary |
| Otolaryngology Physician | 207Y00000X | 36096884 | IL |
Addresses
Primary practice location
1429 N 6TH St
Terre Haute, IN 47807-1037
Mailing address
221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3170
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000089592 | Other | ANTHEM | |
| 100250480 | Medicaid | IN | |
| 791041139 | Other | RAILROAD MCARE PALAMETTO | |
| 0182810 | Other | US DEPT OF LABOR | |
| P00844259 | Other | IN | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36096884 | IL | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1942311824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074214",
"telephone_number": "812-242-3170",
"fax_number": "812-235-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 N 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478071037",
"telephone_number": "812-242-3170",
"fax_number": "812-235-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEFF",
"first_name": "MARTIN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01028433A",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "36096884",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000089592",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250480",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE PALAMETTO",
"identifier": "791041139",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "0182810",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00844259",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.