Rose Creek Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ROSE CREEK PEDIATRICS, LLC

Practice address

4121 W 13400 S Unit B
Riverton, UT 84096-6412

Phone

(801) 842-7366

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Woodrow Cannon Marriott, MDNPI 1891997557

Title

Managing Member

Phone

(801) 842-7366

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21891/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Woodrow Cannon Marriott, M.D.

  • Pediatrics Physician
  • Sandy, UT
  • NPI 1891997557
  NPD Authorized official

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1750985420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E 4500 S # 261",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073049",
            "telephone_number": "801-842-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W 13400 S UNIT B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966412",
            "telephone_number": "801-842-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CREEK PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "MARRIOTT",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_middle_name": "CANNON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-842-7366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith C. Robbins, D.C.
• Robert D. Williams, M.D., P.C.
• Scott M Robins, DO
• Ariella M Rodriguez, LCSW
• Jessica Marie Roestenburg, OTR/L
• Rosewater Empowered Living
• Rosquist Group P C
• Marcella Rowley, FNP
• Diana Silvana Roybal
• Corinne Russell, RDH

• Pediatrics Physician in Riverton, UT
• Providers in Riverton, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.