Rockwall Medical Association PA

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

H8853 Issued in TX

Legal business name

ROCKWALL MEDICAL ASSOCIATION PA

Practice address

502 W Kearney St
Suite 700
Mesquite, TX 75149-3401

Phone

(972) 288-7337

Fax

(972) 289-9076

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Laura S Stiles, D.O.

Title

Physician/Owner

Phone

(972) 288-7337

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Rockwall Medical Association PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rockwall Medical Association, PA

  • Pediatric Adolescent Medicine Physician
  • Rockwall, TX
  • NPI 1386885499
  NPD tax ID

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1720207947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W KEARNEY ST",
            "address_2": "SUITE 700",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493401",
            "telephone_number": "972-288-7337",
            "fax_number": "972-289-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W KEARNEY ST",
            "address_2": "SUITE 700",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493401",
            "telephone_number": "972-288-7337",
            "fax_number": "972-289-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL MEDICAL ASSOCIATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-288-7337",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "H8853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111465401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111465402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shante Robinson
• Wendy Kent Robinson, LPC
• Jennifer Robles, M.S. CCC-SLP
• Kricie Mechel Robles
• Jean Marie Rockenhaus, C.P.N.P.
• Cassidy Rockwell, SLP-CFY
• Lomaia R. Rockwell
• Rodney Robertson OD PC
• Alejandro Rodriguez
• Anakaren Rodriguez, RBT

• Pediatric Adolescent Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Pediatric Adolescent Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.