DONALD DAVID ROSE (NPI# 1174505978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174505978 |
| Entity Type | Individual |
| Full Name | DONALD DAVID ROSE |
| Credential | MD |
| Practice Address |
521 Lake Christine Dr Belleville IL 62221-5101 |
| Practice Telephone | 6182779168 |
| Mailing Telephone | 6182779168 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036057334 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036057334 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639449945 | Donald Richard Rose | Specialist | 3304 E Bay Dr Nw, Gig Harbor, WA 98335-7649 | 2012-01-03 |
| 1750451621 | Donald Whitfield Rose | Dentist | 609 Benson Rd, Garner, NC 27529-3990 | 2006-11-08 |
| 1942280540 | Donald Robert Rose | Family Medicine | 10 Members Way Ste 203, Dover, NH 03820 | 2006-01-19 |
| 1104036193 | Donald Lee Rose | Registered Nurse | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2007-05-22 |
| 1639193782 | Donald Rose | Orthopaedic Surgery | 1095 Park Ave, New York, NY 10128-1154 | 2006-07-26 |
| 1619992823 | Donald Edward Rose | Family Medicine | 199 E Webster St, Colusa, CA 95932-2954 | 2006-07-12 |
| 1740226174 | Donald Rose | Anesthesiology | 1415 Ross Ave, El Centro, CA 92243-4306 | 2006-06-22 |
| 1063461127 | Donald L Rose | Clinical Neuropsychologist | 550 Sw 3rd St, Suite 304, Pompano Beach, FL 33060-6934 | 2006-05-08 |
| 1851351951 | Donald R Rose Jr. | Internal Medicine | 755 Highland Oaks Dr, Suite 201, Winston Salem, NC 27103-7106 | 2006-03-24 |
| Street Address |
521 LAKE CHRISTINE DR |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767875 | Gayithri R Keshav | Internal Medicine | 140 Belmont Ave, Ste 103, Belleville, NJ 07109-1018 | 2006-09-05 |
| 1194706564 | Marcia Lynn Wendland | Internal Medicine | 5105 W Main St, Belleville, IL 62226-4728 | 2005-11-10 |
| 1104294909 | Roger Keshav Md Pa | Internal Medicine | 140 Belmont Ave, Suite 102, Belleville, NJ 07109-1018 | 2015-09-10 |
| 1922314996 | Msa Alliance, LLC | Internal Medicine | 4600 Memorial Dr, Suite 330, Belleville, IL 62226-5368 | 2010-08-27 |
| 1699089060 | Msa Alliance, LLC | Internal Medicine | 4550 Memorial Dr, Ste 410, Belleville, IL 62226-5372 | 2010-07-28 |
| 1942525316 | Roger Keshav | Internal Medicine | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2010-03-29 |
| 1396964599 | Rouba Ghoussoub | Internal Medicine | 4600 Memorial Dr, Suite 330, Belleville, IL 62226-5368 | 2007-04-25 |
| 1235267808 | David Rose, M.d. Ltd | Internal Medicine | 5105 W Main St, Belleville, IL 62226-4728 | 2007-03-02 |
| 1073625117 | Penny E Defranco | Internal Medicine | 5 Franklin Ave, Suite 401, Belleville, NJ 07109-3532 | 2006-08-31 |
| 1962514018 | Ranka Samsa | Internal Medicine | 5 Franklin Ave, Suite 401, Belleville, NJ 07109-3532 | 2006-08-31 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
Please comment or provide details below to improve the information on DONALD DAVID ROSE.
| 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.