| Mr Michael Soo Roh, MD | |
|
2902 Mcfarland Rd, Suite 300, Rockford, IL 61107-6801 | |
| (815) 316-2100 | |
| (815) 316-2099 |
| Full Name | Mr Michael Soo Roh |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 30 Years |
| Location | 2902 Mcfarland Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548242712 | NPI | - | NPPES |
| 036105970 2 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 036105970 (Illinois) | Secondary |
| 207X00000X | Orthopaedic Surgery | 036105970 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Cgh Medical Center | Sterling, IL | Hospital |
| Javon Bea Hospital | Rockford, IL | Hospital |
| Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
| Fhn Memorial Hospital | Freeport, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthomidwest, Pllc | 0749183713 | 430 |
| Orthomidwest, Pllc | 0749183713 | 430 |
| Entity Name | Orthomidwest, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Soo Roh, MD Po Box 735263 Suite 300, Chicago, IL 60673-5263 Ph: () - | Mr Michael Soo Roh, MD 2902 Mcfarland Rd, Suite 300, Rockford, IL 61107-6801 Ph: (815) 316-2100 |
Donald H Holder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1235 N Mulford Rd, Rockford, IL 61107 Phone: 815-637-8637 | |
Dr. Steven Milos, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St, Suite 100, Rockford, IL 61104 Phone: 779-696-1900 | |
Thomas J Danaher, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1340 Charles St, Ste 100, Rockford, IL 61104 Phone: 779-696-1900 | |
Jeffrey S. Earhart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 | |
Jeremiah Albert Pflederer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 801-587-5448 | |
Dr. Edric G Schwartz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 | |
Brian J Bear, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 |