CHARLES HOWARD ROSE


Address: 2205 W Sudbury Dr, Suite A, Bloomington, IN 47403-3737
Phone: 8129611540

CHARLES HOWARD ROSE (NPI# 1477544153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477544153
Entity Type Individual
Full Name CHARLES HOWARD ROSE
Credential MD
Practice Address 2205 W Sudbury Dr
Suite A
Bloomington
IN 47403-3737
Practice Telephone 8129611540
Practice Fax Number 8129611535
Mailing Telephone 8129611540
Mailing Fax Number 8129611535
Enumeration Date 2005-11-02
Last Update Date 2011-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 01054413A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN RAILROAD MEDICARE P00235073 01
IN BLUE CROSS BLUE SHIELD 000000362446 01
IN 200398080 05

Other Providers CHARLES ROSE

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1861941726 Charles D Rose Counselor 10865 Highway 54, Weatherford, OK 73096-3171 2016-10-03
1992060206 Charles Edward Rose Nurse Practitioner 14 Granite St, Taunton, MA 02780-3009 2012-07-12
1457725244 Charles Brad Rose Counselor 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 2015-11-17
1568595874 Charles Edward Rose IIi Internal Medicine 1720 Nicholasville Rd, Ste 602, Lexington, KY 40503-1404 2007-03-14
1184765588 Charles J Rose Dentist 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 2007-02-09
1649291303 Charles Edward Rose Jr. Internal Medicine 1221 Lee St, Charlottesville, VA 22908-0001 2006-07-21
1467432856 Charles Frederick Rose Counselor 8333 Foothill Blvd, Suite 202, Rancho Cucamonga, CA 91730-3154 2006-01-20

Office Location

Street Address 2205 W SUDBURY DR
SUITE A
City BLOOMINGTON
State IN
Zip Code 47403-3737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992796718 Rose Internal Medicine, P.C. Internal Medicine 2205 W Sudbury Dr, Suite A, Bloomington, IN 47403-3737 2005-11-01
1689907826 Faulkner Chiropractic & Acupuncture LLC Chiropractor 2205 W Sudbury Dr, Suite B, Bloomington, IN 47403-3813 2009-09-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255857926 Kare Clinic Internal Medicine 1696 W Hennessey St, Bloomington, IN 47403-4645 2017-08-15
1669756060 Dhanasarn Mongkolsmai Internal Medicine 2206 Berrywood Ln, Bloomington, IL 61704-2448 2011-10-04
1982906566 Guy H Waldo Internal Medicine 9133 S Front Nine Drive, Bloomington, IN 47401-8151 2010-12-02
1154556843 Primary Care Specialists, LLC Internal Medicine 2 Airline Dr, Suite 500, Bloomington, IL 61704-3433 2009-05-25
1790922201 John Leeper Mcnay Jr. Internal Medicine 2032 S. Ramsey Dr., Bloomington, IN 47401-7153 2009-01-21
1790947539 Jared A Frazin Internal Medicine 9332 Rich Rd, Bloomington, MN 55437-2074 2008-07-01
1114124575 Joseph Michael Mackey Internal Medicine 1011 West Second Street, Bloomington, IN 47403-2216 2007-06-29
1588867386 Virgil D. Short Internal Medicine 326 Fairway Dr, Bloomington, IL 61701-3462 2007-06-08
1013086792 Daniel R Berg Md PC Internal Medicine 2620 North Walnut Street, Suite 400, Bloomington, IN 47404 2006-11-07
1386736023 Jerry Antonini Internal Medicine 1505 Eastland Drive, Suite 320, Bloomington, IL 61701-3534 2006-09-29
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Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

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.

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