Rosita Pena Ebron, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

7030 Issued in NV

Practice address

1600 W Sunset Rd Ste a
Children'S Urgent Care
Henderson, NV 89014-2655

Phone

(702) 898-6400

Fax

(702) 898-7032

NPI assigned

Nov 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Jagannath S. Surpure, M.D.P.C.

  • Pediatrics Physician
  • Henderson, NV
  • NPI 1750422481
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1194707307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 W PATRICK LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182513",
            "telephone_number": "702-871-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W SUNSET RD STE A",
            "address_2": "CHILDREN'S URGENT CARE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142655",
            "telephone_number": "702-898-6400",
            "fax_number": "702-898-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRON",
        "first_name": "ROSITA",
        "middle_name": "PENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "7030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern & Horizon Ridge,LLC
• Annette Eatmond
• Alicia Marie Ebding, BA, CADC
• Charlliyah Eberhardt
• Jamie Jill Ebnother, FNP-BC
• Aisha Eccles
• Ann Marie Echevarria, RBT
• Clara Echeverri, R.N.
• Douglas Eck, PT, DPT, MHI
• Kameron Eckard, DPT

• Pediatrics Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.