Active NPI
Ronald Rosedale, M.D.
- Obesity Medicine (Family Medicine) Physician
- Aurora, CO
National Provider Identifier
1508034471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- License
- 36003
- Practice address
- 12635 E Montview Blvd
Ste 131
Aurora, CO 80045-7335 - Phone
- (720) 859-4132
- NPI assigned
- Feb 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 36003 | CO | Primary |
Addresses
Primary practice location
12635 E Montview Blvd
Ste 131
Aurora, CO 80045-7335
Mailing address
12635 E Montview Blvd
Ste 131
Aurora, CO 80045-7335
Phone (720) 859-4132
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003 | CO | MD | Obesity Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1508034471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12635 E MONTVIEW BLVD",
"address_2": "STE 131",
"city": "AURORA",
"state": "CO",
"postal_code": "800457335",
"telephone_number": "720-859-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12635 E MONTVIEW BLVD",
"address_2": "STE 131",
"city": "AURORA",
"state": "CO",
"postal_code": "800457335",
"telephone_number": "720-859-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEDALE",
"first_name": "RONALD",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "CO",
"license": "36003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.