Rocket Surgery, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ROCKET SURGERY, LLC

Practice address

6565 France Ave S Ste 350
Edina, MN 55435-2159

Phone

(952) 999-9049

Fax

(952) 999-4081

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Michelle Nowak, MD

Title

Owner / Ceo

Phone

(612) 389-1093

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1043879901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11407 CREEKRIDGE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553474311",
            "telephone_number": "612-389-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S STE 350",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352159",
            "telephone_number": "952-999-9049",
            "fax_number": "952-999-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKET SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "612-389-1093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@rocketsurgerymn.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant G-suite email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pictures, lesion information",
            "address_1": "11407 Creekridge Dr",
            "city": "Eden Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553474311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jade Renae Roberts, COTA
• Heidi Robertson, M.D.
• NA Robideau, L.AC.
• Jordan Robinson, PH.D.
• Ubah Mohamed Roble
• Donna M Rodel, MD
• Kristin B Rodreick Wilson, LICSW
• Alejandro Rodriguez Kovacs, DDS
• Allison Mary Rodriguez, PA-C
• Andres Humberto Rodriguez, DDS

• Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.