MARY ROSENHAUER PA-C NPI 1679511281

NPI Information

NPI: 1679511281
Provider Name: MARY ROSENHAUER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1350 CEDAR CT
CARBONDALE, IL
ZIP 62901
Phone: (618) 529-2955
Get Directions

Mary Rosenhauer, PA-C is a medical physician assistant in Carbondale, IL. Mary Rosenhauer, PA-C NPI is 1679511281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1350 CEDAR CT
CARBONDALE, IL
ZIP 62901-336
Phone: (618) 529-2955

The NPI 1679511281 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 10/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	085-001667	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K16193	MEDICARE UPIN	ILLINOIS
2	209286	MEDICARE PIN	ILLINOIS
3	205945	MEDICARE PIN	ILLINOIS
4	K16192	MEDICARE UPIN	ILLINOIS
5	209287	MEDICARE PIN	ILLINOIS
6	085-001667	OTHER	ILLINOIS	STATE LICENSE NUMBER
7	P90328	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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