DR. MARK ALAN ROSE (NPI# 1164593018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164593018 |
| Entity Type | Individual |
| Full Name | DR. MARK ALAN ROSE |
| Credential | D.M.D. |
| Practice Address |
6301 Wind Tree Rd Springfield IL 62712-3738 |
| Mailing Address |
2525 W Iles Ave Springfield IL 62704-4283 |
| Practice Telephone | 2175850004 |
| Mailing Telephone | 2177876600 |
| Mailing Fax Number | 2177878141 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494592 | Mark L Rose | Counselor | 4600 36th Ave Sw, #412, Seattle, WA 98126-2794 | 2016-05-06 |
| 1851382550 | Mark Everett Rose | Allergy & Immunology | 13965 N 75th Ave, Peoria, AZ 85381-6097 | 2005-11-02 |
| 1427055102 | Mark Richard Rose | Internal Medicine | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2005-07-07 |
| 1801212428 | Mark Thomas Rose | Orthopaedic Surgery | 1501 Maple Ave Ste 200, Richmond, VA 23226 | 2014-03-06 |
| 1164750568 | Mark Rose | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2009-11-23 |
| 1790871804 | Mark Wiiliam Rose | Podiatrist | 67 Union St, Suite 304, Natick, MA 01760-7700 | 2006-10-05 |
| 1124059548 | Mark Rose | Emergency Medicine | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2006-07-05 |
| 1770526683 | Mark D Rose | Family Medicine | 5486 Indian River Rd, Virginia Beach, VA 23464-5365 | 2006-06-14 |
| Street Address |
6301 WIND TREE RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62712-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881943678 | Roland Folse | Surgery | 2 Virginia Lane, Springfield, IL 62712 | 2012-09-07 |
| 1548351703 | Sarah Megan Toland | Speech-Language Pathologist | 3700 Castle Hill Blvd, Springfield, IL 62712 | 2006-09-27 |
| 1558463760 | Beverly J Matthews | Psychologist | 3517 Carnoustie Dr, Springfield, IL 62712 | 2006-09-01 |
| 1457392227 | Matticks Medcon LLC | Durable Medical Equipment & Medical Supplies | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2006-06-10 |
| 1265602452 | Roderick L Matticks | Family Medicine | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2008-03-04 |
| 1134321581 | Donna Maria Matticks | Developmental Therapist | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2007-06-05 |
| 1134595531 | Karen Brown | Behavioral Analyst | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2015-08-19 |
| 1255834651 | Denise Kay Demoulin | Speech-Language Pathologist | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2018-03-12 |
| 1275089302 | Victoria Branda | Behavioral Analyst | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2016-08-29 |
| 1417174475 | Nikki Arends | Speech-Language Pathologist | 3804 Indian Grass Ln, Springfield, IL 62712-5810 | 2007-04-19 |
| Find all providers in zip 62712 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1730734369 | Taylor Eiford | Dentist | 200 N Fountain Ave, Springfield, OH 45504-2535 | 2019-08-09 |
| 1376198366 | Cynthia Park | Dentist | 8328 Traford Ln Ste B, Springfield, VA 22152-1667 | 2019-08-06 |
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1376100651 | Haiping Sun | Dentist | 1705 E Primrose St, Springfield, MO 65804-4292 | 2019-05-22 |
| 1740845619 | Patrick Greitzer | Dentist | 251 Hampton Pl, Springfield, OH 45503-2613 | 2019-05-07 |
| 1033674106 | Tags Inc | Dentist | 1557 E Primrose St Ste 116, Springfield, MO 65804-7916 | 2019-02-04 |
| 1366916272 | Baines Dental, LLC | Dentist | 1112 Rickard Rd Ste A, Springfield, IL 62704-1021 | 2019-01-14 |
| 1225502362 | Liebentritt Family Dentistry | Dentist | 191 Main St., Springfield, NE 68059 | 2019-01-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62712 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.