Provider Demographics
NPI:1497794911
Name:ROCHLIN, SEMONE BARRIE (DO)
Entity Type:Individual
Prefix:
First Name:SEMONE
Middle Name:BARRIE
Last Name:ROCHLIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 N SCOTTSDALE RD STE 235
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5111
Mailing Address - Country:US
Mailing Address - Phone:602-653-0540
Mailing Address - Fax:602-926-8029
Practice Address - Street 1:11000 N SCOTTSDALE RD STE 235
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254
Practice Address - Country:US
Practice Address - Phone:602-653-0540
Practice Address - Fax:602-926-8029
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8678208600000X
NY2242331208600000X
AZ4462208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ126265Medicare UPIN
AZZ126048Medicare PIN
AZZ120952Medicare PIN
AZZ126264Medicare UPIN