Roeza PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ROEZA PLLC

Practice address

15100 Traditions Blvd Ste 2
Edmond, OK 73013-1183

Phone

(405) 471-3698

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Richard E Hanson Jr., PA-CNPI 1134117153

Title

Owner

Phone

(405) 640-9005

Specialties & licenses 1

Addresses

Other names 1

• Sante Clinic and Med Spa Other name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17273/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Enniss Hanson Jr., PA, MPAS

  • Physician Assistant
  • Federal Way, WA
  • NPI 1134117153
  NPD (past) Authorized official

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1124521851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19416 CADE CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124163",
            "telephone_number": "405-640-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 TRADITIONS BLVD STE 2",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131183",
            "telephone_number": "405-471-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROEZA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-640-9005",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sante Clinic and Med Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cindy Daniela Rodriguez, LPC
• Paul Candelaria Rodriguez, RBT
• Preston Rody
• Lori Ann Roebuck
• Emily Hope Roecker, APRN-CNP
• Asia Jana Rogers, M.ED
• Caroline Rogers, CCC-SLP
• Priscilla Rogers, RBT
• William David Rogers Jr., PH.D.
• Shanna Lynne Rolfs, MD

• Physician Assistant in Edmond, OK
• Providers in Edmond, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.