Active NPI
Roger B Rowles, M.D.
- Obstetrics & Gynecology Physician
- Yakima, WA
National Provider Identifier
1558359091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00017159
- Practice address
- 3003 Tieton Dr
Suite 240
Yakima, WA 98902-3679 - Phone
- (509) 453-7109
- Fax
- (509) 453-3659
- NPI assigned
- Oct 10, 2005
- Last updated
- Oct 30, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00017159 | WA | Primary |
Addresses
Primary practice location
3003 Tieton Dr
Suite 240
Yakima, WA 98902-3679
Mailing address
3003 Tieton Dr
Suite 240
Yakima, WA 98902-3679
Phone (509) 453-7109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1436500 | Medicaid | WA |
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 |
|---|---|---|---|
| MD00017159 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger B. Rowles, MD | Obstetrics & Gynecology | 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.
-
- Obstetrics & Gynecology Physician
- Yakima, WA
- NPI 1730137068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1558359091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 TIETON DR",
"address_2": "SUITE 240",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023679",
"telephone_number": "509-453-7109",
"fax_number": "509-453-3659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 TIETON DR",
"address_2": "SUITE 240",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023679",
"telephone_number": "509-453-7109",
"fax_number": "509-453-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWLES",
"first_name": "ROGER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00017159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1436500",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.