Organization Active NPI

Rosenfield, MD. PA

  • Specialist
  • Tyler, TX
National Provider Identifier
1952409377
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H7496 Issued in TX
Legal business name
ROSENFIELD, MD. PA
Practice address
1305 Dr Drive
Tyler, TX 75701-3343
Phone
(903) 533-0699
Fax
(903) 597-0822
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Dr. Laurence Rosenfield, MD PA
Title
Office Administrator
Phone
(903) 599-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X H7496 TX Primary

Addresses

Primary practice location

1305 Dr Drive
Tyler, TX 75701-3343

Mailing address

PO Box 131980
Tyler, TX 75713-1980
Phone (903) 533-0699

Other identifiers 3

IdentifierTypeStateIssuer
172878401MedicaidTX
00528GOtherTXBCBS
138046112MedicaidTX

National Provider Directory

National Provider Directory

Locations

1100 E Lake St
Ste 340
Tyler, TX 75701
Phone (903) 531-8126

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1952409377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131980",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757131980",
            "telephone_number": "903-533-0699",
            "fax_number": "903-597-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 DR DRIVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013343",
            "telephone_number": "903-533-0699",
            "fax_number": "903-597-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENFIELD, MD. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "ROSENFIELD",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "903-599-0699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172878401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00528G",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138046112",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.