JOHN MARTIN ROSKA (NPI# 1679714216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679714216 |
| Entity Type | Individual |
| Full Name | JOHN MARTIN ROSKA |
| Credential | MD |
| Practice Address |
1711 Shaw Woods Dr. Rockford IL 61107-1725 |
| Practice Telephone | 8154905787 |
| Mailing Telephone | 8154905787 |
| Mailing Fax Number | 8667250972 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2013-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036070998 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036070998 | IL | Allopathic & Osteopathic Physicians |
| N | 314000000X | Skilled Nursing Facility | 036-070998 | IL | Nursing & Custodial Care Facilities |
| Street Address |
1711 SHAW WOODS DR. |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1417964016 | Chester Durnas, Md | Internal Medicine | 6785 Weaver Rd, Ste D, Rockford, IL 61114-8055 | 2006-08-03 |
| 1285675967 | James David Koepsell | Internal Medicine | 2829 Glenwood Ave, Rockford, IL 61101-3542 | 2006-06-10 |
| 1356543375 | Alpa Mahendra Patel | Internal Medicine | 5666 E State St, Rockford, IL 61108-2425 | 2007-06-01 |
| 1427168616 | Sheldon A. Weiss | Internal Medicine | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2006-08-30 |
| 1033129788 | Chester Durnas | Internal Medicine | 6785 Weaver Rd, Ste D, Rockford, IL 61114-8055 | 2006-08-08 |
| 1538135991 | Rani Rao | Internal Medicine | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058378 | Ranim Mira | Internal Medicine | 4021 W Belle Plaine Ave # Ge, Chicago, IL 60641-2412 | 2018-03-24 |
| 1518351758 | Vania Leung | Internal Medicine | 2600 S Michigan Ave Ste 205, Chicago, IL 60616-2857 | 2015-03-25 |
| 1699174540 | Hatem Hassaballa | Internal Medicine | 840 S Wood St Fl 4, Suite 409 (m/c 717), Chicago, IL 60612-4325 | 2014-08-16 |
| 1528495470 | Home Care Doctors of Illinois Inc | Internal Medicine | 121 Fairfield Way Ste 312, Bloomingdale, IL 60108-1585 | 2013-10-08 |
| 1699059857 | We Care for Seniors Ltd | Internal Medicine | 501 Ashbury Ct, Lemont, IL 60439-8422 | 2011-10-06 |
| 1508181108 | Francina Miguelina Peralta Machado | Internal Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2010-04-07 |
| 1295976892 | Woodridgeclinic-lemont | Internal Medicine | 15884 W 127th St, Suite H, Lemont, IL 60439-7422 | 2009-03-12 |
| 1609037498 | Katya Yanira Cruz Madrid | Internal Medicine | 840 S. Wood St, Mic 717 Suite 409, Chicago, IL 60612 | 2008-06-24 |
| 1326209446 | Downers Grove Geriatrics, LLC | Internal Medicine | 3800 Highland Ave Ste 111, Downers Grove, IL 60515-1558 | 2008-06-20 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
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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.