DR. NICHOLAS BRANDL ROSSI (NPI# 1295029510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295029510 |
Entity Type | Individual |
Full Name | DR. NICHOLAS BRANDL ROSSI |
Credential | MD |
Practice Address |
375 N Wall St Ste P530 Kankakee IL 60901-3486 |
Mailing Address |
1900 Mistletoe Blvd Ste 200 Fort Worth TX 76104-4049 |
Practice Telephone | 8159327200 |
Practice Fax Number | 8159357874 |
Mailing Telephone | 8178785333 |
Mailing Fax Number | 8178785334 |
Enumeration Date | 2011-06-03 |
Last Update Date | 2019-01-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | 036148044 | IL | Allopathic & Osteopathic Physicians |
N | 207T00000X | Neurological Surgery | R2722 | TX | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1900 Mistletoe Blvd Ste 200, Fort Worth, TX 76104 | 8178785333 | 8178785334 |
375 N Wall St Ste P530, Kankakee, IL 609013486 | 8159327200 | 8159357874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407813272 | Nicholas Peter Rossi | Surgery | 1834 Kathlin Dr, Iowa City, IA 52246-4616 | 2006-04-27 |
1366008559 | Nicholas Armando Rossi | Otolaryngology | 301 University Blvd, Galveston, TX 77555-5303 | 2019-05-14 |
1386083814 | Nicholas Matthew Rossi | Physician Assistant | 3855 Pleasant Hill Rd, Suite 470, Duluth, GA 30096-1407 | 2013-06-18 |
1952561953 | Nicholas Anthony Rossi | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2008-06-12 |
Street Address |
375 N WALL ST STE P530 |
City | KANKAKEE |
State | IL |
Zip Code | 60901-3486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922571397 | Kristin Michelle Cyrier | Registered Nurse | 375 N Wall St Ste P530, Kankakee, IL 60901-3486 | 2019-01-08 |
1740615145 | Kathryn Joan Hamblen | Nurse Practitioner | 375 N Wall St Ste P530, Kankakee, IL 60901-3486 | 2013-09-05 |
1780969634 | Karim H Bouferrache | Physician Assistant | 375 N Wall St Ste P530, Kankakee, IL 60901-3486 | 2011-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
Find all providers in zip 60901 |
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 |
---|---|---|---|---|
1194035360 | Michel H. Malek, Md Sc | Neurological Surgery | 555 W Court St, Suite 412, Kankakee, IL 60901-3664 | 2010-10-20 |
1235235938 | Charles F. Harvey | Neurological Surgery | 400 N Wall St, Suite 304, Kankakee, IL 60901-2940 | 2006-09-16 |
1801992516 | Juan C. Jimenez | Neurological Surgery | 400 N Wall St, Suite 402, Kankakee, IL 60901-2940 | 2006-09-16 |
1548374838 | Michel H Malek | Neurological Surgery | 555 W Court St, Suite 412, Kankakee, IL 60901-3664 | 2006-08-17 |
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 |
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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.