Active NPI
James L Rossiter, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Mequon, WI
National Provider Identifier
1336364546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 40673
- Practice address
- 10610 N Port Washington Road
Mequon, WI 53092 - Phone
- (414) 771-6780
- Fax
- (414) 238-2424
- NPI assigned
- Apr 14, 2007
- Last updated
- Nov 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 40673 | WI | Primary |
Addresses
Primary practice location
10610 N Port Washington Road
Mequon, WI 53092
Mailing address
2885 N Mayfair Rd
Milwaukee, WI 53222-4404
Phone (414) 771-6780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32499600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40673 | WI | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St Mary's Hospital Ozaukee, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Columbia St Mary's Hospital Ozaukee
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1376582775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1336364546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 N MAYFAIR RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532224404",
"telephone_number": "414-771-6780",
"fax_number": "414-238-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10610 N PORT WASHINGTON ROAD",
"city": "MEQUON",
"state": "WI",
"postal_code": "53092",
"telephone_number": "414-771-6780",
"fax_number": "414-238-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSITER",
"first_name": "JAMES",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-14",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "WI",
"license": "40673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32499600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.