Active NPI
Rockwood Family Health LLC
- Family Medicine Physician
- Jefferson, WI
National Provider Identifier
1013913532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28978
- Legal business name
- ROCKWOOD FAMILY HEALTH LLC
- Practice address
- 152 W Garland St
Jefferson, WI 53549-2029 - Phone
- (920) 674-4141
- Fax
- (920) 674-6714
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Franklin Bradford Meyers, M.D.
- Title
- Sole Member
- Phone
- (920) 674-4141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28978 | WI | Primary |
Addresses
Primary practice location
152 W Garland St
Jefferson, WI 53549-2029
Mailing address
152 W Garland St
Jefferson, WI 53549-2029
Phone (920) 674-4141
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K3 | Other | WI | DEAN HEALTH PLAN |
| 1000245 | Other | WI | PHYSICIANS PLUS INS CORP |
| 21314900 | Medicaid | WI | |
| 080184575 | Other | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Waterloo, WI
- NPI 1316025976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212710400000",
"number": "1013913532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 W GARLAND ST",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535492029",
"telephone_number": "920-674-4141",
"fax_number": "920-674-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 W GARLAND ST",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535492029",
"telephone_number": "920-674-4141",
"fax_number": "920-674-6714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKWOOD FAMILY HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2008-06-06",
"status": "A",
"authorized_official_last_name": "MEYERS",
"authorized_official_first_name": "FRANKLIN",
"authorized_official_middle_name": "BRADFORD",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "920-674-4141",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WI",
"license": "28978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN",
"identifier": "K3",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS PLUS INS CORP",
"identifier": "1000245",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21314900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080184575",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.