Active NPI
Reinhard E. Rott, MD, Facs, LLC
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1669408258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 30464
- Legal business name
- REINHARD E. ROTT, MD, FACS, LLC
- Practice address
- 1715 W Northern Ave
Phoenix, AZ 85021-5472 - Phone
- (602) 395-0718
- Fax
- (602) 277-8146
- NPI assigned
- Jun 24, 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
- Reinhard Rott, MD
- Title
- Owner
- Phone
- (602) 395-0718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 30464 | AZ | Primary |
Addresses
Primary practice location
1715 W Northern Ave
Phoenix, AZ 85021-5472
Mailing address
PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596364 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1669408258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39179",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850699179",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 W NORTHERN AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215472",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REINHARD E. ROTT, MD, FACS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "ROTT",
"authorized_official_first_name": "REINHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-395-0718",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "AZ",
"license": "30464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596364",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.