Amanda C Rodski, M.D., M.B.A.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

04-34423 Issued in KS

Practice address

700 Quincy Ave
Scranton, PA 18510-1724

Phone

(570) 770-5000

NPI assigned

Jun 30, 2008

Last updated

Sep 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

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

• Emergency Services, PC

  • Emergency Medicine Physician
  • Scranton, PA
  • NPI 1588686166
  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1710149885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 QUINCY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 QUINCY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101724",
            "telephone_number": "570-770-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODSKI",
        "first_name": "AMANDA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "AM-9707805-3219",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT194084",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD438010",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-34423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002087",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID KMAP ID",
            "identifier": "200658040A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Dominick Roczniak, RPH
• Jezabel Desiree Rodriguez Acosta
• Raul Adrian Rodriguez Nunez
• Elaine Rodriguez
• Jennifer Leigh Rodriguez
• Thomas M Roe, M.D.
• Carla Ann Rogalewicz
• Michael Rogan, MD
• Judith Emily Rogers, CRNP
• Mariah Ann Rogers, LPC

• Emergency Medicine Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.