Organization Active NPI

Ronald Glenn Rosen, MD PC

  • Surgery Physician
  • Eufaula, AL
National Provider Identifier
1659559318
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RONALD GLENN ROSEN, MD PC
Doing business as
Eufaula General Surgery
Practice address
825 W Washington St
Suite 7
Eufaula, AL 36027-1847
Phone
(334) 688-7350
Fax
(334) 688-7353
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Ronald Glenn Rosen, MD
Title
President
Phone
(334) 688-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

825 W Washington St
Suite 7
Eufaula, AL 36027-1847

Mailing address

PO Box 126
Eufaula, AL 36072-0126
Phone (334) 688-7350

Other identifiers 1

IdentifierTypeStateIssuer
1659559318MedicaidAL

Other names 1

  • Eufaula General Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1659559318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360720126",
            "telephone_number": "334-688-7350",
            "fax_number": "334-688-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W WASHINGTON ST",
            "address_2": "SUITE 7",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271847",
            "telephone_number": "334-688-7350",
            "fax_number": "334-688-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD GLENN ROSEN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-688-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659559318",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eufaula General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.