Laurel a. Retay DO, PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAUREL A. RETAY DO, PLC

Practice address

6104 E Brown Rd
Suite 101
Mesa, AZ 85205-4953

Phone

(480) 633-1452

Fax

(480) 633-6375

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ann Epp, LPN

Title

Office Manager

Phone

(480) 633-1452

Specialties & licenses 1

Addresses

Other names 1

• LAUREL A. RETAY DO Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonnie J Rouzaud, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1629208400
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255533097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5787",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852785787",
            "telephone_number": "480-633-1452",
            "fax_number": "480-633-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 E BROWN RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054953",
            "telephone_number": "480-633-1452",
            "fax_number": "480-633-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL A. RETAY DO, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPP",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-633-1452",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAUREL A. RETAY DO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Philomina Anderson Lauder
• Ashley N Lauderback, SLPA
• Carson Lauf
• Robert D Laufer, D.O.
• Lauras Assisted Living
• Gregory Lauver, MD
• Allyson J Lauwers, PHARM-D, RPH
• Holly Lawder, M.D.
• William P Lawless, MD
• Lauri Ann Lawn, MS, NCC, LPC

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.