Active NPI
White Mountain Surgical Specialists PC
- Orthopaedic Surgery Physician
- Show Low, AZ
National Provider Identifier
1124177571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- AZ13617
- Legal business name
- WHITE MOUNTAIN SURGICAL SPECIALISTS PC
- Practice address
- 2650 E Show Low Lake Rd
Suite 2
Show Low, AZ 85901-7955 - Phone
- (928) 537-4240
- NPI assigned
- Jan 8, 2007
- Organization subpart
- Yes
- Parent organization
- WHITE MTN SURGICAL SPECIALISTS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronnie K Dowling, M.D.
- Title
- Physician
- Phone
- (928) 537-4240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | AZ13617 | AZ | Primary |
Addresses
Primary practice location
2650 E Show Low Lake Rd
Suite 2
Show Low, AZ 85901-7955
Mailing address
2650 E Show Low Lake Rd
Suite 2
Show Low, AZ 85901-7955
Phone (928) 537-4240
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0180910 | Other | AZ | BCBS AZ |
| 16090179 | Other | AZ | ST COMP FUND AZ |
| 214502 | Medicaid | AZ | |
| 214502001 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Part of
- WT MTN Surgical Special
Locations
2650 E Show Low Lake Rd
Ste 2
Show Low, AZ 85901
Phone (928) 532-3008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334793600000",
"number": "1124177571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 E SHOW LOW LAKE RD",
"address_2": "SUITE 2",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017955",
"telephone_number": "928-537-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 E SHOW LOW LAKE RD",
"address_2": "SUITE 2",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017955",
"telephone_number": "928-537-4240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE MOUNTAIN SURGICAL SPECIALISTS PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHITE MTN SURGICAL SPECIALISTS",
"enumeration_date": "2007-01-08",
"last_updated": "2012-04-19",
"status": "A",
"authorized_official_last_name": "DOWLING",
"authorized_official_first_name": "RONNIE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "928-537-4240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "AZ13617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AZ",
"identifier": "AZ0180910",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST COMP FUND AZ",
"identifier": "16090179",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214502",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214502001",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.