Active NPI
Rose Lane Emergency Physicians LLC
- Emergency Medicine Physician
- Wickenburg, AZ
National Provider Identifier
1316283013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- ROSE LANE EMERGENCY PHYSICIANS LLC
- Practice address
- 520 Rose LN
Wickenburg, AZ 85390-1447 - Phone
- (928) 684-5421
- Fax
- (928) 684-5058
- NPI assigned
- Dec 27, 2012
- Last updated
- Dec 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ross Ronan
- Title
- Vice President
- Phone
- (469) 401-2386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
520 Rose LN
Wickenburg, AZ 85390-1447
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (469) 401-2386
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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.
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- Cook, MN
- NPI 1235189200
-
- Emergency Medicine Physician
- Altoona, PA
- NPI 1013228592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388275200000",
"number": "1316283013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "469-401-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 ROSE LN",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853901447",
"telephone_number": "928-684-5421",
"fax_number": "928-684-5058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE LANE EMERGENCY PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-27",
"last_updated": "2013-12-29",
"status": "A",
"authorized_official_last_name": "RONAN",
"authorized_official_first_name": "ROSS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "469-401-2386"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wickenburg, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.