DR. CHARLES ROSEN (NPI# 1417057290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417057290 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ROSEN |
| Credential | M.D. |
| Practice Address |
1015 S Mercer Ave Ste E1 Bloomington IL 61701-7107 |
| Practice Telephone | 3096627500 |
| Practice Fax Number | 3096627333 |
| Mailing Telephone | 3096627500 |
| Mailing Fax Number | 3096627333 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 036147903 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164529236 | Charles M Rosen | Social Worker | 98 Riverside Dr, Suite 1c, New York, NY 10024-5323 | 2006-09-20 |
| 1033165378 | Charles M Rosen | Specialist | 4300 Alton Rd, Mt. Sinai Medical Center, Miami Beach, FL 33140-2800 | 2006-05-26 |
| 1053398347 | Charles B. Rosen | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-28 |
| 1548264013 | Charles David Rosen | Orthopaedic Surgery | 101 The City Dr S, Orange, CA 92868-3201 | 2005-06-12 |
| Street Address |
1015 S MERCER AVE STE E1 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-7107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831144484 | Timothy W Highland | Physical Therapist | 1015 S Mercer Ave Ste E1, Bloomington, IL 61701-7107 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083956015 | Us Medical & Business Consultants LLC | Neurological Surgery | 899 S College Mall Rd Ste 350, Bloomington, IN 47401-6301 | 2013-03-15 |
| 1538327010 | Zachary H Dodd | Neurological Surgery | 719 W 2nd St, Bloomington, IN 47403-2209 | 2008-05-30 |
| 1902063225 | Todd A Eads | Neurological Surgery | 719 W 2nd St, Bloomington, IN 47403-2209 | 2008-05-22 |
| 1972789238 | Jason Michael Seibly | Neurological Surgery | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2008-01-17 |
| 1669674081 | Bryan Jacob Wohlfeld | Neurological Surgery | 719 W 2nd St, Bloomington, IN 47403-2209 | 2007-06-05 |
| 1649203886 | Central Illinois Neuro Health Sciences, Ltd.. | Neurological Surgery | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2006-07-09 |
| 1548290158 | Ann R Stroink | Neurological Surgery | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2006-07-03 |
| 1457381063 | Keith A Kattner | Neurological Surgery | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2006-07-03 |
| 1538195920 | Emilio M Nardone | Neurological Surgery | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114371 | Justin Michael | Neurological Surgery | 701 N 1st St Ste D-319, Springfield, IL 62702-3757 | 2020-05-06 |
| 1023678638 | Matthew Weber | Neurological Surgery | 701 N 1st St, Suite D-319, Springfield, IL 61702 | 2019-06-17 |
| 1891281499 | Kamran Khan, Sc | Neurological Surgery | 1890 Silver Cross Blvd Ste 450, New Lenox, IL 60451-9518 | 2018-07-06 |
| 1881124030 | Denise Brunozzi | Neurological Surgery | 912 South Wood Street, 451 N - Hc 739, Chicago, IL 60612 | 2017-06-19 |
| 1407218365 | St Anthonys Physician Organization of Illinois | Neurological Surgery | 211 S Burns Ave, Sparta, IL 62286-1895 | 2016-03-22 |
| 1225455181 | Jehad Algharabli | Neurological Surgery | 2218 S Leavitt St, Chicago, IL 60608-4008 | 2014-03-27 |
| 1992041461 | Gursant Atwal | Neurological Surgery | University of Il Hospital & Health Science System, 1740 W Taylor St, Chicago, IL 60612 | 2013-01-02 |
| 1629321112 | James Bruce Mansfield | Neurological Surgery | 5 Loch Ln, South Barrington, IL 60010-9532 | 2012-10-21 |
| 1639445877 | Joseph R Rivas | Neurological Surgery | 511 W Belmont Ave, #32, Chicago, IL 60657-4663 | 2012-03-30 |
| 1356637722 | Melissa M Stamates | Neurological Surgery | 2650 Ridge Ave Fl 3, Evanston, IL 60201 | 2011-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.