Active NPI
Mary Ann Rosanova-Kaper, M.D., S.C.
- Clinic/Center
- Barrington, IL
National Provider Identifier
1962704965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 36.042248
- Legal business name
- MARY ANN ROSANOVA-KAPER, M.D., S.C.
- Practice address
- 330 E Main St
Suite 1W
Barrington, IL 60010-3203 - Phone
- (847) 381-4300
- Fax
- (847) 381-4350
- NPI assigned
- Nov 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Ann Rosanova-Kaper, M.D.
- Title
- Owner
- Phone
- (847) 381-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 36.042248 | IL | Primary |
Addresses
Primary practice location
330 E Main St
Suite 1W
Barrington, IL 60010-3203
Mailing address
330 East Main Street
Suite 1W
Barrington, IL 60010
Phone (847) 381-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036042248 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Barrington, IL
- NPI 1548255474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290470400000",
"number": "1962704965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 EAST MAIN STREET",
"address_2": "SUITE 1W",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "60010",
"telephone_number": "847-381-4300",
"fax_number": "847-381-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E MAIN ST",
"address_2": "SUITE 1W",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600103203",
"telephone_number": "847-381-4300",
"fax_number": "847-381-4350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY ANN ROSANOVA-KAPER, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-23",
"last_updated": "2010-11-23",
"status": "A",
"authorized_official_last_name": "ROSANOVA-KAPER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-381-4300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": "36.042248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036042248",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.