ELIZABETH ANN ROSE DO
NPI 1205123734
Pediatrics in Peoria, IL

NPI Status: Active since July 05, 2011

Contact Information

320 E ARMSTRONG AVE
PEORIA, IL
ZIP 61603
Phone: (309) 680-7600
Fax: (309) 495-8614

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  • Individual
  • Female
  • Pediatrics
  • Accepts Insurance

About ELIZABETH ROSE

This page provides the complete NPI Profile along with additional information for Elizabeth Rose, a pediatrician established in Peoria, Illinois with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1205123734 assigned on July 2011. The practitioner's primary taxonomy code is 208000000X with license number 036-134395 (IL). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1205123734
Provider Name
ELIZABETH ANN ROSE DO
Other Name
ELIZABETH ANN MICKALICH DO
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
320 E ARMSTRONG AVE PEORIA, IL 61603
Location Phone
(309) 680-7600
Location Fax
(309) 495-8614
Mailing Address
2214 N UNIVERSITY ST PEORIA, IL 61604
Mailing Phone
(309) 680-7634
Mailing Fax
(309) 495-8614
Is Sole Proprietor?
No
Enumeration Date
07-05-2011
Last Update Date
10-09-2014
Code Navigator

A pediatrician like Elizabeth Rose is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
036-134395
License State
IL
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Bronson Healthcare Partners - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - HMO
  • UHC Bronze Essential+ (Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage (No Referrals) - HMO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205123734, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 2 + 2 + 6 + 7 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1205123734.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
320 E ARMSTRONG AVE
PEORIA, IL 61603
Dentist (General Practice)
320 E ARMSTRONG AVE
PEORIA, IL 61603
Pediatrics
320 E ARMSTRONG AVE
PEORIA, IL 61603
Internal Medicine
320 E ARMSTRONG AVE
PEORIA, IL 61603
Social Worker (Clinical)
320 E ARMSTRONG AVE
PEORIA, IL 61603
Student in an Organized Health Care Education/Training Program
320 E ARMSTRONG AVE
PEORIA, IL 61603
Counselor (Professional)
320 E ARMSTRONG AVE
PEORIA, IL 61603
Clinical Nurse Specialist (Pediatrics)
320 E ARMSTRONG AVE
PEORIA, IL 61603
Internal Medicine
320 E ARMSTRONG AVE
PEORIA, IL 61603
Nurse Practitioner (Women's Health)
320 E ARMSTRONG AVE
PEORIA, IL 61603
Pediatrics
320 E ARMSTRONG AVE
PEORIA, IL 61603
Nurse Practitioner
320 E ARMSTRONG AVE
PEORIA, IL 61603
Dentist (General Practice)
320 E ARMSTRONG AVE
PEORIA, IL 61603
Physician Assistant
320 E ARMSTRONG AVE
PEORIA, IL 61603
Dentist
320 E ARMSTRONG AVE
PEORIA, IL 61603
Dentist (General Practice)
320 E ARMSTRONG AVE
PEORIA, IL 61603
Dentist
320 E ARMSTRONG AVE
PEORIA, IL 61603
Physician Assistant
320 E ARMSTRONG AVE
PEORIA, IL 61603
Nurse Practitioner (Family)
320 E ARMSTRONG AVE
PEORIA, IL 61603
Dentist
320 E ARMSTRONG AVE
PEORIA, IL 61603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205123734, enumerated as an "individual" on July 05, 2011.

The provider is located at 320 E ARMSTRONG AVE PEORIA, IL 61603 and the phone number is (309) 680-7600.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.