Organization Active NPI

Rockford Digestive Health Specialists, P.a.

  • Gastroenterology Physician
  • Mount Airy, NC
National Provider Identifier
1659388296
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9501055 Issued in NC
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

Updated by the provider on Jan 6, 2012

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
78894OtherNCCORPORATE CERTIFICATE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.