Individual provider Active NPI

Rebecca Sue Rowen, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1376665075
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3600 Issued in AZ
Practice address
2200 N 3Rd St
Phoenix, AZ 85004-1401
Phone
(602) 258-6634
Fax
(602) 258-4311
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3600 AZ Primary

Addresses

Primary practice location

2200 N 3Rd St
Phoenix, AZ 85004-1401

Mailing address

3133 E Camelback Rd
Ste 105
Phoenix, AZ 85016-4545
Phone (602) 522-1900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170118000221 AZ Practitioner - Physician Assistant 2961784459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3600AZMDMedical Physician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1376665075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 E CAMELBACK RD",
            "address_2": "STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164545",
            "telephone_number": "602-522-1900",
            "fax_number": "602-381-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041401",
            "telephone_number": "602-258-6634",
            "fax_number": "602-258-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWEN",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.