Organization Active NPI

Edward J Rotmensch MD PLLC

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1932347572
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32594 Issued in AZ
Legal business name
EDWARD J ROTMENSCH MD PLLC
Practice address
8410 W Thomas Rd
BLDG 4, Suite 138
Phoenix, AZ 85037-3329
Phone
(623) 845-0137
Fax
(623) 209-9805
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Dr. Edward James Rotmensch, MD PLLC
Title
Physician
Phone
(623) 845-0137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 32594 AZ Primary

Addresses

Primary practice location

8410 W Thomas Rd
BLDG 4, Suite 138
Phoenix, AZ 85037-3329

Mailing address

PO Box 5877
Peoria, AZ 85385-5877
Phone (623) 845-0137

National Provider Directory

National Provider Directory

Locations

4550 N 51st Ave
Ste 53
Phoenix, AZ 85031
Phone (623) 845-0137

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1932347572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5877",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853855877",
            "telephone_number": "623-845-0137",
            "fax_number": "623-209-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 W THOMAS RD",
            "address_2": "BLDG 4, SUITE 138",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373329",
            "telephone_number": "623-845-0137",
            "fax_number": "623-209-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J ROTMENSCH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "ROTMENSCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-845-0137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PLLC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "32594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.