Active NPI
Emily Rachel Rozin Bon, DO
- Emergency Medicine Physician
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101026010
- Practice address
- 10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315 - Phone
- (414) 877-5350
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5151013952 | MI | |
| Emergency Medicine Physician | 207P00000X | 5101026010 | MI | Primary |
Addresses
Primary practice location
10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315
Mailing address
10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315
Other names 1
- Emily R Rozin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151013952 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| EMS Observation, S.C. | Emergency Medicine | Current | Accepting new patients |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| Integrated Therapeutic Massage LLC | Past | Accepting new patients |
Locations
2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
10625 W North Ave
Ste 101B
Wauwatosa, WI 53226
Phone (414) 727-9183
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.
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Emergency Medicine Physician
- Franklin, WI
- NPI 1033858378
-
- Urgent Care Clinic/Center
- Portage, MI
- NPI 1417130154
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
- Massage Therapist
- Milwaukee, WI
- NPI 1144994096
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1720647548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10625 W NORTH AVE STE 101B",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10625 W NORTH AVE STE 101B",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262315",
"telephone_number": "414-877-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BON",
"first_name": "EMILY",
"middle_name": "RACHEL ROZIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5151013952",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101026010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "ROZIN",
"middle_name": "R",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.