NPIMap

Organization Active NPI

Roswell Emergency Care Center

  • Emergency Care Clinic/Center
  • Roswell, GA
National Provider Identifier
1679774392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
ROSWELL EMERGENCY CARE CENTER
Practice address
660 W Crossville Rd Ste 110
Roswell, GA 30075-7525
Phone
(770) 649-0711
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles J O'Hearn, M.D.
Title
President
Phone
(972) 745-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

660 W Crossville Rd Ste 110
Roswell, GA 30075-7525

Mailing address

270 N Denton Tap Rd Ste 250
Coppell, TX 75019-2159
Phone (972) 745-7601

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679774392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N DENTON TAP RD STE 250",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192159",
            "telephone_number": "972-745-7601",
            "fax_number": "972-745-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W CROSSVILLE RD STE 110",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757525",
            "telephone_number": "770-649-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL EMERGENCY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'HEARN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-745-7601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.