S. Richard Roskos, MD, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G1178 Issued in TX

Legal business name

S. RICHARD ROSKOS, MD, PA

Practice address

3500 Oak Lawn Ave
Ste. 215
Dallas, TX 75219-4348

Phone

(214) 252-1804

Fax

(214) 526-4610

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

S. Richard Roskos, M.D.

Title

President

Phone

(214) 252-1804

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1215093554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE",
            "address_2": "STE. 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194348",
            "telephone_number": "214-252-1804",
            "fax_number": "214-526-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE",
            "address_2": "STE. 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194348",
            "telephone_number": "214-252-1804",
            "fax_number": "214-526-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. RICHARD ROSKOS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "ROSKOS",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-252-1804",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G1178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035798001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289028701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.