DR. RAYMUNDO FEDERICO ROSALES II (NPI# 1245255959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245255959 |
| Entity Type | Individual |
| Full Name | DR. RAYMUNDO FEDERICO ROSALES II |
| Other Name | DR. MUNDO FEDERICO ROSALES |
| Credential | M.D. |
| Practice Address |
2512 Q St Suite B Bedford IN 47421-4928 |
| Mailing Address |
Po Box 324 Bedford IN 47421-0324 |
| Practice Telephone | 8122770075 |
| Practice Fax Number | 8122770089 |
| Mailing Telephone | 8122770075 |
| Mailing Fax Number | 8122770089 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01061216A | IN | Other Service Providers |
| N | 207P00000X | Emergency Medicine | 01061216A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE SHIELD | 000000594475 | 01 |
| IN | 200528920A | 05 | |
| IN | 200528920 | 05 |
| Street Address |
2512 Q ST SUITE B |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902085699 | Mundo F. Rosales, M.d. P.C. | Surgery | 2512 Q St, Suite B, Bedford, IN 47421-4928 | 2007-10-30 |
| 1760527832 | The Heart and Vascular Clinic, PC | Surgery | 2512 Q St, Bedford, IN 47421-4928 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851783419 | Baby To Boomer Therapies, LLC | Specialist | 20 North Rd, Bedford, MA 01730-1057 | 2015-02-19 |
| 1689935702 | Janet Handelman Weingarden | Specialist | 51 Brook Farm Rd, Bedford, NY 10506-1309 | 2012-06-05 |
| 1760758890 | Kelly Densie Harvey | Specialist | 40 Route 101, Bedford, NH 03110-6057 | 2012-03-22 |
| 1750515326 | Anita Hart | Specialist | 2680 Mount Pleasant Rd, Bedford, KY 40006-8532 | 2009-05-11 |
| 1477706315 | Hope Shapiro Lilian | Specialist | 50 Quarry Ln, Bedford, NY 10506-1539 | 2008-10-23 |
| 1386834489 | Judy Marie Cross | Specialist | 1415 13th St, Bedford, IN 47421-3226 | 2007-07-26 |
| 1770798043 | Hoosier Family Practice P.C. | Specialist | 2809 Washington Ave Ste R, Bedford, IN 47421-5310 | 2007-05-11 |
| 1154407203 | Syed Jaffer Ali | Specialist | 12 Columbus St, Bedford, OH 44146-2819 | 2006-10-31 |
| 1669487492 | Diagnostex, LLC | Specialist | 2921 Brown Trl, Suite 265, Bedford, TX 76021-4144 | 2006-07-30 |
| 1780617449 | Miguel A Sala | Specialist | Edith Nourse Rogers Veterans Hospital,200 Springs Road, Bedford, MA 01730 | 2006-07-08 |
| Find all providers in BEDFORD | ||||
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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.