Organization Active NPI

Phoenix Cancer and Blood Disorder Treatment Institute PLLC

  • Hematology & Oncology Physician
  • Bullhead City, AZ
National Provider Identifier
1255819736
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
PHOENIX CANCER AND BLOOD DISORDER TREATMENT INSTITUTE PLLC
Practice address
967 Hancock Rd 133
Bullhead City, AZ 86442
Phone
(928) 224-0064
Fax
(480) 842-8608
NPI assigned
Aug 6, 2018
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Dr. Steven L Rosinski, MDNPI 1073621819
Title
Managed Member
Phone
(206) 817-1544

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

967 Hancock Rd 133
Bullhead City, AZ 86442

Mailing address

967 Hancock Rd 133
Bullhead City, AZ 86442
Phone (928) 224-0064

Other identifiers 1

IdentifierTypeStateIssuer
406031MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180907001953 AZ Part B Supplier - Clinic/Group Practice 4789934019 Receives reassigned benefits from 7 practitioners
Practice locations: Bullhead City, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2243149Phoenix Cancer and Blood Disorder Treatment967 Hancock Rd Ste 133, Bullhead City, AZ 86442Certificate of waiverNov 15, 2027

National Provider Directory

National Provider Directory

Locations

967 Hancock Rd
Bullhead City, AZ 86442

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1255819736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 HANCOCK RD 133",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-224-0064",
            "fax_number": "480-842-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 HANCOCK RD 133",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-224-0064",
            "fax_number": "480-842-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CANCER AND BLOOD DISORDER TREATMENT INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ROSINSKI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGED MEMBER",
        "authorized_official_telephone_number": "206-817-1544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406031",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.