Active NPI
George Augustin Rosnowski
- Contractor
- Surprise, AZ
National Provider Identifier
1043662539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- AL6166H
- Practice address
- 14320 W Mandalay LN
Surprise, AZ 85379-5782 - Phone
- (623) 266-2199
- Fax
- (623) 266-2199
- NPI assigned
- Jul 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | AL6166H | AZ | Primary |
Addresses
Primary practice location
14320 W Mandalay LN
Surprise, AZ 85379-5782
Mailing address
14320 W Mandalay LN
Surprise, AZ 85379-5782
Phone (623) 266-2199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL6166H | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1043662539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14320 W MANDALAY LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795782",
"telephone_number": "623-266-2199",
"fax_number": "623-266-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14320 W MANDALAY LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795782",
"telephone_number": "623-266-2199",
"fax_number": "623-266-2199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSNOWSKI",
"first_name": "GEORGE",
"middle_name": "AUGUSTIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-07",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "AL6166H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.