Michael R. Rollins, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

30379 Issued in AZ

Practice address

13555 W. McDowell Rd
Suite 204
Goodyear, AZ 85395-2626

Phone

(623) 247-0300

Fax

(623) 247-9268

NPI assigned

Jun 1, 2005

Last updated

May 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Valley Surgical Associates, PLLC

  • Surgery Physician
  • Goodyear, AZ
  • NPI 1528413929
  Authorized official Same address or phone
• West Valley Surgeons PLC

  • Surgery Physician
  • Goodyear, AZ
  • NPI 1043482474
  NPD (past) Authorized official
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1740459700
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1114921467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W. MCDOWELL RD",
            "address_2": "SUITE 204",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-247-0300",
            "fax_number": "623-247-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W. MCDOWELL RD",
            "address_2": "SUITE 204",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-247-0300",
            "fax_number": "623-247-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "30379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "703745",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Holdings, LLC (Native Air)
• Reza A Rod, MD
• Jose Rodriguez
• Melissa Rodriguez
• Brayden Roesch, DO
• Karen Rominski, RN
• Brunilda A Rosario, DO
• Katrina Danielle Rose
• Eric Scott Rosmith, PH.D.
• Ross & Mackenzie LLC (Agape Family Services)

• Surgery Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.