Sophia Rostovtseva in Maryville - Family Medicine
Sophia Rostovtseva - NPI 1427042381
Sophia Rostovtseva is a Family Medicine in Maryville, Illinois. Sophia Rostovtseva practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sophia Rostovtseva is 1427042381. The last update date is 2020-07-02.
Sophia Rostovtseva's current location address is 6810 State Route 162 Box 215, Maryville, Illinois. You can contact this provider via phone number 6183916405 and fax number 6182584088. The mailing address for Sophia Rostovtseva is 6810 State Route 162 Box 215, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sophia Rostovtseva |
|---|---|
| Address | 6810 State Route 162 Box 215, Maryville, Illinois |
| Phone Number | 6183916405 |
| Fax Number | 6182584088 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1427042381 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2020-07-02 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 Box 215 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628501 |
| Phone Number | 6183916405 |
| Fax Number | 6182584088 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36107786 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36107786 | IL | -- | |
| P00390708 | IL | RR MEDICARE |
Post Comment/ Review Below
What is the Sophia Rostovtseva's unique identification number?
The Sophia Rostovtseva has been assigned the NPI (National Provider Identifier) Number 1427042381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Sophia Rostovtseva's physical address?
The Sophia Rostovtseva is physically located at 6810 State Route 162 Box 215, in the city of Maryville, IL, with the postal code 620628501.
What is Sophia Rostovtseva's area of expertise and its corresponding taxonomy classification?
The Sophia Rostovtseva's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Sophia Rostovtseva receive the assignment of its 1427042381 from the Centers for Medicare & Medicaid Services?
The Sophia Rostovtseva was issued its 1427042381 by the Centers for Medicare & Medicaid Services on 2005-09-07.
When was the information regarding Sophia Rostovtseva, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sophia Rostovtseva, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-07-02.