Roquin Pain Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

61303 Issued in GA

Legal business name

ROQUIN PAIN CENTER

Practice address

1121 Johnson Ferry Rd
Suite 340
Marietta, GA 30068-5425

Phone

(770) 771-6300

Fax

(770) 771-6301

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan C Newton, M.D.NPI 1861533291

Title

Owner/Physician

Phone

(770) 771-6300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 11C0001434

Legal name

ROQUIN PAIN CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 25, 2015

Last certification

Mar 25, 2015

Ownership / control type

Proprietary

Facility address

1121 Johnson Ferry Road, Suite 340
Marietta, GA 30068

Practitioners 1

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

• Jonathan C. Newton, MD

  • Interventional Pain Medicine Physician
  • Marietta, GA
  • NPI 1861533291
  NPD (past) Authorized official

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1801224167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD",
            "address_2": "SUITE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685425",
            "telephone_number": "770-771-6300",
            "fax_number": "770-771-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD",
            "address_2": "SUITE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685425",
            "telephone_number": "770-771-6300",
            "fax_number": "770-771-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROQUIN PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "770-771-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "61303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald E. Wilson, D.D.S.,P.C.
• Melissa Bucalan Rooney, ANP-BC
• Rooted Behavioral Therapy, LLC
• Rootline Endodontics
• Ronald P. Roper, MD
• Alisha Rorer, PHD
• Lilian Marisol Rosales Madrid
• Darlene Joy Rosario
• Kelly Nicole Rosato
• Joy Rosconi, PA-C

• Ambulatory Surgical Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.