Ruth Rosen, M.D.
Family Medicine in Polacca, AZ. Individual provider (NPI-1).
NPI number1124231972
StatusActive
Last updated in NPPESMay 9, 2024
Details
- NPI
- 1124231972
- Entity type
- Individual (NPI-1)
- Name
- Ruth Rosen
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2007
- Last updated
- May 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD2006-0507 | NM | Yes |
| 207P00000X | Emergency Medicine | C63110 | CA |
Practice location
Hopi Health Care Center Higway 264Mm 388
Polacca, AZ 86042-4000
Phone 928-737-6000 · Fax 928-737-6001
Mailing address
Po Box 4000Polacca, AZ 86042-4000
Phone 928-737-6000 · Fax 928-737-6001
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