DR. JACK W ROSTAS III (NPI# 1902063282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902063282 |
| Entity Type | Individual |
| Full Name | DR. JACK W ROSTAS III |
| Credential | M.D. |
| Practice Address |
1314 E Walnut St Washington IN 47501-2860 |
| Mailing Address |
1025 S. 6th Street Springfield IL 62703 |
| Practice Telephone | 8122542760 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
036143962 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 W Jackson St Ste 300, Carbondale, IL 629011474 | 6184573006 | |
| 900 N 1st St, Springfield, IL 627023749 | 2175287541 |
| Street Address |
1314 E WALNUT ST |
| City | WASHINGTON |
| State | IN |
| Zip Code | 47501-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861465999 | Daviess County Hospital | General Acute Care Hospital | 1314 E Walnut St, Washington, IN 47501-2120 | 2006-02-09 |
| 1417558271 | Daviess County Hospital | Emergency Medicine | 1314 E Walnut St, Washington, IN 47501-2860 | 2020-11-06 |
| 1629675517 | Ashley Brooke Holland | Nurse Practitioner | 1314 E Walnut St, Washington, IN 47501-2860 | 2020-10-05 |
| 1891317301 | Karen A Zehr-miller | Social Worker | 1314 E Walnut St, Washington, IN 47501-2860 | 2020-05-07 |
| 1235769381 | Alice Leeann Bean | Nurse Practitioner | 1314 E Walnut St, Washington, IN 47501-2860 | 2020-01-16 |
| 1669011391 | Brian Peek | Counselor | 1314 E Walnut St, Washington, IN 47501-2860 | 2019-12-28 |
| 1154964740 | Dale Rodney Lockman | Physician Assistant | 1314 E Walnut St, Washington, IN 47501-2860 | 2019-10-25 |
| 1881259596 | Daviess County Hospital | Ambulance | 1314 E Walnut St, Washington, IN 47501-2860 | 2019-05-08 |
| 1992268981 | Lori D Day | Nurse Practitioner | 1314 E Walnut St, Washington, IN 47501-2860 | 2019-04-08 |
| 1386104594 | Daviess County Hospital | Nurse Anesthetist, Certified Registered | 1314 E Walnut St, Washington, IN 47501-2860 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647249 | Williams Bros. Health Care Pharmacy, Inc | Pharmacy | 1998 State St, Washington, IN 47501 | 2020-10-21 |
| 1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
| 1104134360 | Amanda Erin Davis | Occupational Therapist | 801 S. Sr 57, Washington, IN 47501 | 2010-09-21 |
| 1891015624 | Wanda Mae Bullock | Physical Therapy Assistant | Troy Road, Washington, IN 47501 | 2010-06-03 |
| 1912149253 | Back In Motion Therapy, PC | Clinic/Center | 1764 Troy Rd., Washington, IN 47501 | 2009-04-01 |
| 1255510293 | Marlo Dale Chilman | Physical Therapist | 501 E Nat Hwy, Suite B, Washington, IN 47501 | 2007-10-26 |
| 1598952814 | Assisted Living Concepts Inc | Assisted Living Facility | 297 S 100 E, Washington, IN 47501 | 2007-10-01 |
| 1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
| 1902006141 | Emily J Hansen | Physical Therapy Assistant | 801 South Sr 57, Washington, IN 47501 | 2007-07-24 |
| 1033318001 | Melanie Carol Hunter | Physical Therapist | 2119 E. National Highway, Washington, IN 47501 | 2007-07-11 |
| Find all providers in zip 47501 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205081015 | Scott Lane Williams | Surgery | 1177 22nd St Nw, Unit 4d, Washington, DC 20037-1252 | 2008-11-20 |
| 1407828387 | David S. Wade | Surgery | 935 Pennsylvania Ave Nw, Washington, DC 20535-0001 | 2006-02-03 |
| 1235688896 | Sugarbaker Hong Surgical Associates PC | Surgery | 106 Irving St Nw, Ste. 3900, Washington, DC 20010-2927 | 2016-09-23 |
| 1720405665 | Ian Thomas Greenwalt | Surgery | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2014-03-27 |
| 1316237282 | Danier Moore | Surgery | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2011-04-13 |
| 1619101102 | Joyce Wong | Surgery | 700 2nd St Ne, Washington, DC 20002 | 2009-05-12 |
| 1396883930 | Jeffrey Jerome Pelton | Surgery | 700 2nd St Ne, Washington, DC 20002-8100 | 2007-02-04 |
| 1184658668 | Craig David Shriver | Surgery | 6900 Georgia Ave Nw, Heaton Pavilion, Room 5512, Washington, DC 20307-0003 | 2006-07-10 |
| 1902878713 | Sugarbaker Oncology Associates, PC | Surgery | 106 Irving St Nw, Suite N-3900, Washington, DC 20010-2927 | 2006-02-06 |
| 1407828536 | Surgical Oncology Associates PC | Surgery | 106 Irving St Nw, Suite N-3900, Washington, DC 20010-2927 | 2006-02-02 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 47501 |
Please comment or provide details below to improve the information on DR. JACK W ROSTAS III.
| 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.