David Richard Rosencrantz, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD07089 Issued in OR

Practice address

3100 NE 28TH St Ste B
Lincoln City, OR 97367-4524

Phone

(541) 812-5800

Fax

(541) 812-5802

NPI assigned

Aug 12, 2006

Last updated

Nov 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: drosencrantz7647@samhealth.direct-ci.com

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1750393534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1194",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NE 28TH ST STE B",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674524",
            "telephone_number": "541-812-5800",
            "fax_number": "541-812-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENCRANTZ",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD07089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232702",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drosencrantz7647@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3100 NE 28th St Ste B",
            "city": "Lincoln City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973674524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel B. Robertson, M.D.
• Kenneth J. Rodeman, PT
• Zayne Angel Rodriguez
• Charles Roesel
• Laura Rollins-Martin, MSW
• Trevor Charles Ross
• Phillip Rothschild, PHARMD
• Ronald O Royce, DO
• RTR Dreamers LLC
• Alana R Rushton, PA-C

• Urology Physician in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Urology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.