Active NPI
Rochelle Roxanne Flynn, MD
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1386613461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N3643
- Practice address
- 11398 Bandera Rd Ste 201
San Antonio, TX 78250-6827 - Phone
- (210) 543-7334
- Fax
- (210) 314-5044
- NPI assigned
- Mar 14, 2006
- Last updated
- Mar 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | N3643 | TX | |
| Pediatrics Physician | 208000000X | N3643 | TX | Primary |
Addresses
Primary practice location
11398 Bandera Rd Ste 201
San Antonio, TX 78250-6827
Mailing address
14100 San Pedro Ave Ste 412
San Antonio, TX 78232-2009
Phone (210) 281-8669
Other names 1
- Rochelle Caruso
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 |
|---|---|---|---|
| N3643 | TX | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1386613461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 SAN PEDRO AVE STE 412",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782322009",
"telephone_number": "210-281-8669",
"fax_number": "210-314-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11398 BANDERA RD STE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782506827",
"telephone_number": "210-543-7334",
"fax_number": "210-314-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "ROCHELLE",
"middle_name": "ROXANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TX",
"license": "N3643",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N3643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROCHELLE",
"last_name": "CARUSO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.