Rockford Digestive Health Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

215236 Issued in NC

Legal business name

ROCKFORD DIGESTIVE HEALTH ENDOSCOPY CENTER

Practice address

951 Rockford St
Suite B
Mount Airy, NC 27030-5323

Phone

(336) 719-7993

Fax

(336) 719-6550

NPI assigned

Mar 1, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn Steven Pfitzner

Title

MD

Phone

(336) 719-7993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 34C0001194

Legal name

ROCKFORD DIGESTIVE HEALTH ENDOSCOPY CENTER PA

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 23, 2016

Last certification

Sep 23, 2016

Ownership / control type

Proprietary

Facility address

951B Rockford Street
Mount Airy, NC 27030

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1013377290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ROCKFORD ST",
            "address_2": "SUITE B",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305323",
            "telephone_number": "336-719-7993",
            "fax_number": "336-719-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ROCKFORD ST",
            "address_2": "SUITE B",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305323",
            "telephone_number": "336-719-7993",
            "fax_number": "336-719-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD DIGESTIVE HEALTH ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "PFITZNER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "336-719-7993",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NC",
            "license": "215236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Ridgeway, PHD
• Lawrence Chad Riggs, PHARM.D.
• Erin Michelle Ringley
• Ripley Drug Inc
• Andrew L Robertson, MD
• Rockford Digestive Health Specialists, P.a.
• Bryan Michael Rogers, MPT
• Gary Paul Rogers III, RDN
• Marie Teresa Romero, NP
• Kamya Rose

• Endoscopy Clinic/Center in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Endoscopy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.