Healthcare Provider Details

I. General information

NPI: 1215198080
Provider Name (Legal Business Name): EMMA CAROLINE ROSSI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N ELAM AVE
GREENSBORO NC
27403-1118
US

IV. Provider business mailing address

535 BARNHILL DR., RT 437
INDIANAPOLIS IN
46202
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-1100
  • Fax:
Mailing address:
  • Phone: 317-944-7241
  • Fax: 317-944-4878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number01069785B
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number200901878
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: