Organization Active NPI

Rosemary Bellino MD Inc

  • Internal Medicine Physician
  • Lawton, OK
National Provider Identifier
1841475035
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13457 Issued in OK
Legal business name
ROSEMARY BELLINO MD INC
Practice address
4202 SW Lee Blvd
BLDG a Suite 100
Lawton, OK 73505
Phone
(580) 353-0332
Fax
(580) 248-8313
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Rosemary Bellino, MD
Title
President
Phone
(580) 353-0332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 13457 OK Primary

Addresses

Primary practice location

4202 SW Lee Blvd
BLDG a Suite 100
Lawton, OK 73505

Mailing address

4202 SW Lee Blvd
BLDG a Suite 100
Lawton, OK 73505
Phone (580) 353-0332

Other identifiers 1

IdentifierTypeStateIssuer
100743500AMedicaidOK

National Provider Directory

National Provider Directory

Locations

4202 SW Lee Blvd
Ste 100
Lawton, OK 73505
Phone (580) 353-0332

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1841475035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 SW LEE BLVD",
            "address_2": "BLDG A SUITE 100",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-353-0332",
            "fax_number": "580-248-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 SW LEE BLVD",
            "address_2": "BLDG A SUITE 100",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-353-0332",
            "fax_number": "580-248-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARY BELLINO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "BELLINO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-353-0332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "13457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100743500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.