NPIMap

Organization Active NPI

Rose City Pediatrics and Urgent Care, LLC

  • Pediatrics Physician
  • Portland, OR
National Provider Identifier
1699230979
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROSE CITY PEDIATRICS AND URGENT CARE, LLC
Practice address
3507 SE 36TH Ave
Portland, OR 97202-1862
Phone
(503) 232-1392
Fax
(503) 232-1345
NPI assigned
Jan 31, 2019
Last updated
Jan 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Dr. Robert Shane Anthony Fuchs, DNP, FNP-C
Title
Co-Owner/PCP
Phone
(503) 232-1392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3507 SE 36TH Ave
Portland, OR 97202-1862

Mailing address

3507 SE 36TH Ave
Portland, OR 97202-1862
Phone (503) 232-1392

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1699230979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 SE 36TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021862",
            "telephone_number": "503-232-1392",
            "fax_number": "503-232-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 SE 36TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021862",
            "telephone_number": "503-232-1392",
            "fax_number": "503-232-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY PEDIATRICS AND URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SHANE ANTHONY",
        "authorized_official_title_or_position": "CO-OWNER/PCP",
        "authorized_official_telephone_number": "503-232-1392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.