NPIMap

Organization Active NPI

Rachel Rockman Petersen, MD PC

  • Obstetrics & Gynecology Physician
  • Huntsville, AL
National Provider Identifier
1598965113
Registry record updated Jul 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28071 Issued in AL
Legal business name
RACHEL ROCKMAN PETERSEN, MD PC
Practice address
4810 Whitesport Cir SW
Suite 100
Huntsville, AL 35801-7419
Phone
(256) 882-1785
Fax
(256) 882-1770
NPI assigned
Jul 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2007

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

Authorized official

Name
Dr. Rachel Rockman Petersen, MD
Title
Owner
Phone
(256) 882-1785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 28071 AL Primary

Addresses

Primary practice location

4810 Whitesport Cir SW
Suite 100
Huntsville, AL 35801-7419

Mailing address

PO Box 12476
Huntsville, AL 35815-2476
Phone (256) 882-1785

Other identifiers 1

IdentifierTypeStateIssuer
51005688OtherALBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184976000000",
    "number": "1598965113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12476",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358152476",
            "telephone_number": "256-882-1785",
            "fax_number": "256-882-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 WHITESPORT CIR SW",
            "address_2": "SUITE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017419",
            "telephone_number": "256-882-1785",
            "fax_number": "256-882-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL ROCKMAN PETERSEN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-21",
        "last_updated": "2007-07-21",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ROCKMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-882-1785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "28071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51005688",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.