PHILLIP D. ROSETT M.D. NPI 1780692863

NPI Information

NPI: 1780692863
Provider Name: PHILLIP D. ROSETT, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1808 SHERMAN DR
PRINCETON, IN
ZIP 47670
Phone: (812) 385-9420
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Phillip D. Rosett, M.D. is a specialist in Princeton, IN with 47 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Phillip D. Rosett, M.D. NPI is 1780692863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:1977

The provider's business location address is:

1808 SHERMAN DR
PRINCETON, IN
ZIP 47670-043
Phone: (812) 385-9420

The NPI 1780692863 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 1/25/2016.

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	174400000X	Specialist		036058234	ILLINOIS	No
2	174400000X	Specialist		01075572A	INDIANA	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	0175572A	OTHER	INDIANA	INDIANA STATE LICENSE
2	D13528	MEDICARE UPIN	ILLINOIS
3	201308930	MEDICAID	INDIANA
4	036058234	MEDICAID	ILLINOIS
5	940920014	OTHER	INDIANA	MEDICARE PTAN

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: 4/28/2024

NPI Synchronization or Removal

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