Roselavender a. Richards, M.D. P.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

23096 Issued in AZ

Legal business name

ROSELAVENDER A. RICHARDS, M.D. P.C.

Practice address

515 W Buckeye Rd Ste 106
Phoenix, AZ 85003-2648

Phone

(602) 258-6997

Fax

(602) 257-4638

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Roselavendar A. Richards, M.D.

Title

Owner/President

Phone

(602) 258-6997

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Roselavender A Richards, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1417934902
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982700514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W GOLDFINCH WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483144",
            "telephone_number": "480-786-0899",
            "fax_number": "480-963-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032648",
            "telephone_number": "602-258-6997",
            "fax_number": "602-257-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELAVENDER A. RICHARDS, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ROSELAVENDAR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "602-258-6997",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "AZ",
            "license": "23096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318205",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Marie Rose, FNP/PSYCH NP
• Marie Lunique Roseau, LAC
• Rosebud LLC
• Rosebud Optical
• Jamie Roseland
• Michael D Rosellini, M.D.
• Rosemonte Assisted Living II LLC
• Candace Marie Rosen, L.C.S.W.
• Diana E Rosen
• Emily Susan Rosen, LMSW

• Legal Medicine in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Legal Medicine in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.