Ryan Rolf MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01057615A Issued in IN

Legal business name

RYAN ROLF MD LLC

Practice address

129 Osprey Pass
Huntertown, IN 46748-9231

Phone

(260) 633-1950

NPI assigned

Dec 16, 2014

Last updated

Jun 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan C Rolf, MDNPI 1801992235

Title

President

Phone

(260) 633-1950

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan C. Rolf, M.D.

  • Hospitalist Physician
  • Fort Wayne, IN
  • NPI 1801992235

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1932507464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 OSPREY PASS",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467489231",
            "telephone_number": "260-633-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 OSPREY PASS",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467489231",
            "telephone_number": "260-633-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN ROLF MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "ROLF",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-633-1950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01057615A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201277720 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parth Anantbhai Patel, MD
• Kelsey Pence, DDS
• Perry Civiltownship Allen County Ttee
• Kaley Lynn Ponder
• Quality Behavioral Services, Inc.
• Cynthia L Shepherd, M.A., CCC-SLP
• Ella Christine Smith
• Thomas Paul Sodano, D.D.S.
• Angela Suzanne Sorg, LMHC
• Amy Lynn Spallinger, LCSW

• Internal Medicine Physician in Huntertown, IN
• Providers in Huntertown, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.