Individual provider Active NPI

Carla Jean Rotering, MD

  • Pulmonary Disease Physician
  • Glendale, AZ
National Provider Identifier
1346277233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
AZ15679 Issued in AZ
Practice address
6677 W Thunderbird Rd BLDG E
Glendale, AZ 85306-3709
Phone
(623) 776-1411
Fax
(623) 776-1171
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Mountain Regional Medical Center 16 clinicians

Practice addresses (Care Compare)

118 S Mountain Ave
Springerville, AZ 85938-5104
Phone (928) 333-4368

Hospital & facility affiliations

  • White Mountain Regional Medical Center Hospital, Springerville, AZ, CCN 031315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000030 AZ Practitioner - Pulmonary Disease 0446232375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15679AZMDClinical Social Worker
AZ15679AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Mountain Regional Medical Center CurrentSince May 1, 2010 Accepting new patients

Locations

118 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-4368

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X AZ15679 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

6677 W Thunderbird Rd BLDG E
Glendale, AZ 85306-3709

Mailing address

6677 W Thunderbird Rd
Glendale, AZ 85306-3709
Phone (623) 776-1411

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346277233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-776-1411",
            "fax_number": "623-776-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD BLDG E",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-776-1411",
            "fax_number": "623-776-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTERING",
        "first_name": "CARLA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "AZ15679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.