Our Lady of the Roses Primary Care

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

OUR LADY OF THE ROSES PRIMARY CARE

Practice address

808 21St St
Columbus, GA 31904-8817

Phone

(706) 221-7232

Fax

(706) 221-7246

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gerald W. Wieczorek

Title

Registering Agent

Phone

(706) 327-4880

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard Willis, M.D.

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1619900537
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1801119375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1957",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318081957",
            "telephone_number": "706-327-4880",
            "fax_number": "706-327-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 21ST ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048817",
            "telephone_number": "706-221-7232",
            "fax_number": "706-221-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE ROSES PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "WIECZOREK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "REGISTERING AGENT",
        "authorized_official_telephone_number": "706-327-4880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ostermann II, BME
• Kristen B Osterrieder, PA-C
• Nicole Susan Oswalt
• Natouri Ottun, PHARM.D., BCPS
• Our Lady of the Roses Primary Care
• Our Voice Matters LLC
• Outback Care Group
• Aniya Outley, RBT
• Delta Joyce Outley, MASTERS
• Kristen Allison Ouzts

• Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.