Edward E Rotan MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36877 Issued in AZ

Legal business name

EDWARD E ROTAN MD INC

Practice address

2180 McCulloch
Suite 102
Lake Havasu City, AZ 86403-9998

Phone

(951) 809-3746

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward Earl Rotan Jr., MD

Title

President

Phone

(951) 809-3746

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jennifer A Baron, MD

  • MOHS-Micrographic Surgery Physician
  • San Jose, CA
  • NPI 1902927148
  NPD (past)
• Bernardo Ariston Marcos, M.D.

  • Procedural Dermatology Physician
  • Woodland Hills, CA
  • NPI 1982655726
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1922267905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MCCULLOCH",
            "address_2": "SUITE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039998",
            "telephone_number": "951-809-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD E ROTAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "ROTAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-809-3746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "36877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dybka Behavioral Health PLLC
• Brooke Alison Dybka, LMFT
• E Franklin Livingstone MD PC
• Carolyn Earley, PTA
• Edward B. Ahn DDS, PC
• Edward J. Quinn, M.D.
• Edward P Fuller MD PC
• Robyn Diane Edwards
• Judy A Eide, RN
• Akachukwu John Ekeoma, PHARM.D

• Family Medicine Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.