Rolla Surgical Clinic, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ROLLA SURGICAL CLINIC, LLC

Practice address

1210 Homelife PLZ
Rolla, MO 65401-2512

Phone

(573) 341-2971

Fax

(573) 341-8174

NPI assigned

Apr 1, 2011

Last updated

Apr 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael P Monaldi

Title

Practice Manager

Phone

(573) 341-2971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1619266426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654020130",
            "telephone_number": "573-341-2971",
            "fax_number": "573-341-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 HOMELIFE PLZ",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012512",
            "telephone_number": "573-341-2971",
            "fax_number": "573-341-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLA SURGICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "MONALDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "573-341-2971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolla Optical
• Rolla Public Schools
• Rolla Radiology Group, LLC
• Rolla Residential, LLC (Parkside Memory Care)
• Rolla Residential, LLC (Parkside Assisted Living)
• Rolla Urgent Care LLC
• Rolla Urgent Care, LLC
• Marie C Romer
• Romo Direct Primary Care, LLC
• Donald Jay Roshan Jr., DO

• Ambulatory Surgical Clinic/Center in Rolla, MO
• Providers in Rolla, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.