Active NPI
Rockford Digestive Health Specialists, P.a.
- Gastroenterology Physician
- Mount Airy, NC
National Provider Identifier
1659388296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 9501055
- Legal business name
- ROCKFORD DIGESTIVE HEALTH SPECIALISTS, P.A.
- Practice address
- 951 Rockford St
Mount Airy, NC 27030-5323 - Phone
- (336) 719-7993
- Fax
- (336) 719-6550
- NPI assigned
- Aug 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn Pfitzner, MD
- Title
- MD
- Phone
- (336) 719-7993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 9501055 | NC | Primary |
Addresses
Primary practice location
951 Rockford St
Mount Airy, NC 27030-5323
Mailing address
951 Rockford St
Mount Airy, NC 27030-5323
Phone (336) 719-7993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78894 | Other | NC | CORPORATE CERTIFICATE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325808000000",
"number": "1659388296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 ROCKFORD ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270305323",
"telephone_number": "336-719-7993",
"fax_number": "336-719-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 ROCKFORD ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270305323",
"telephone_number": "336-719-7993",
"fax_number": "336-719-6550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKFORD DIGESTIVE HEALTH SPECIALISTS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2012-01-06",
"status": "A",
"authorized_official_last_name": "PFITZNER",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "336-719-7993",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "9501055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATE CERTIFICATE",
"identifier": "78894",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.