Individual provider Active NPI

Christina A Vogel-Rosbrook, PA

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1700435831
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
4330 Medical Drive, Suite 120
San Antonio, TX 78229-3353
Phone
(210) 614-7414
Fax
(210) 616-0509
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X TX Primary

Addresses

Primary practice location

4330 Medical Drive, Suite 120
San Antonio, TX 78229-3353

Mailing address

5047 Sherri Ann Road
San Antonio, TX 78233-6213
Phone (210) 828-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211207000794 NY Practitioner - Physician Assistant 2668804931 Reassigns benefits to 3 organizations
I20250107002396 WA Practitioner - Physician Assistant 2668804931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dispatchhealth Washington PCGroup PAC ID 2062765423, 44 clinicians

Practice addresses (Care Compare)

1411 4TH Ave
Seattle, WA 98101-2249
Phone (303) 500-1518

6240 Tacoma Mall Blvd
Suite 101
Tacoma, WA 98409-6819
Phone (253) 271-9720

949 Market St
Suite 602
Tacoma, WA 98402-3693
Phone (253) 271-9720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
027605NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients
Varicose Vein Clinic - Northwest, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christina.vogel-rosbrook.1@13869.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1700435831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 SHERRI ANN ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336213",
            "telephone_number": "210-828-2503",
            "fax_number": "210-828-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DRIVE, SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293353",
            "telephone_number": "210-614-7414",
            "fax_number": "210-616-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL-ROSBROOK",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.