Active NPI
Rosemary Ellen Detweiler, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Fort Worth, TX
National Provider Identifier
1598783136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- H5868
- Practice address
- 6100 Harris Parkway
Fort Worth, TX 76132-4126 - Phone
- (214) 638-2000
- Fax
- (214) 237-1864
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | H5868 | TX | Primary |
Addresses
Primary practice location
6100 Harris Parkway
Fort Worth, TX 76132-4126
Mailing address
1355 River Bend Drive
Dallas, TX 75247-4915
Phone (214) 638-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124415405 | Medicaid | TX | |
| 8S1225 | Other | TX | BCBS |
| P00281152 | Other | TX | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Propath Services, LLC | 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 and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1962481820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1598783136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 RIVER BEND DRIVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474915",
"telephone_number": "214-638-2000",
"fax_number": "214-237-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 HARRIS PARKWAY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324126",
"telephone_number": "214-638-2000",
"fax_number": "214-237-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETWEILER",
"first_name": "ROSEMARY",
"middle_name": "ELLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "H5868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124415405",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8S1225",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00281152",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.