Organization Active NPI

Rosewood Medical

  • Family Medicine Physician
  • Goldsboro, NC
National Provider Identifier
1164769709
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9701863 Issued in NC
Legal business name
ROSEWOOD MEDICAL
Practice address
172 NC Highway 581 S
Goldsboro, NC 27530-9404
Phone
(919) 735-5757
Fax
(877) 489-4191
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Walter R Schmits, M.D.NPI 1083697213
Title
Owner
Phone
(919) 778-1165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 9701863 NC Primary

Addresses

Primary practice location

172 NC Highway 581 S
Goldsboro, NC 27530-9404

Mailing address

172 NC Highway 581 S
Goldsboro, NC 27530-9404
Phone (919) 735-5757

Other identifiers 1

IdentifierTypeStateIssuer
8911000MedicaidNC

National Provider Directory

National Provider Directory

Locations

172 NC Highway 581 S
Goldsboro, NC 27530
Phone (919) 635-4500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1164769709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 NC HIGHWAY 581 S",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309404",
            "telephone_number": "919-735-5757",
            "fax_number": "877-489-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 NC HIGHWAY 581 S",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309404",
            "telephone_number": "919-735-5757",
            "fax_number": "877-489-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SCHMITS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-778-1165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.