ROSE MEDICAL ASSOCIATION, INC.
NPI 1144741844
Psychiatry & Neurology - Addiction Medicine in Peoria, IL

Q: What is Rose Medical Association, Inc.'s NPI number?

The NPI number for Rose Medical Association, Inc. is 1144741844. It was assigned to this organization in the NPPES registry on July 3, 2017.

Q: What is Rose Medical Association, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Active since July 03, 2017

209 W ROMEO B GARRETT AVE, PEORIA, IL 61605(309) 686-1600(309) 686-1605 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 3, 2017 (2 updates tracked since 2017).

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About Rose Medical Association, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE MEDICAL ASSOCIATION, INC. (NPI 1144741844) is a healthcare organization registered as an addiction medicine in Peoria, Illinois and active in the NPI registry since July 2017. The organization lists Ernest C. Rose, Medical Director / Ceo, as its authorized official.

NPPES Registry Identity

NPI1144741844

Entity TypeOrganization

Primary Taxonomy2084A0401X

Legal Business NameROSE MEDICAL ASSOCIATION, INC.

Location Address209 W ROMEO B GARRETT AVEPeoria, IL 61605-2502

Mailing Address209 W Romeo B Garrett AvePeoria, IL 61605-2502 · (309) 686-1600 · Fax (309) 686-1605

Phone(309) 686-1600

Fax(309) 686-1605

Organization SubpartNo

Authorized OfficialErnest C. RoseMedical Director / Ceo · (309) 686-1600

Enumeration DateJuly 3, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1144741844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in IL · 036-059239

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

209 W ROMEO B GARRETT AVE, Peoria, IL 61605

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Medical Association, Inc.'s NPI number?

The NPI number for Rose Medical Association, Inc. is 1144741844. It was assigned to this organization in the NPPES registry on July 3, 2017.

Where is Rose Medical Association, Inc. located?

Rose Medical Association, Inc. is located at 209 W Romeo B Garrett Ave, Peoria, IL 61605. The listed phone number is (309) 686-1600.

What is Rose Medical Association, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Rose Medical Association, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.