Individual provider Active NPI

Jeffry F Rocker, D.O.

  • Family Medicine Physician
  • Oviedo, FL
National Provider Identifier
1013997683
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5703 Issued in FL
Practice address
110 Alafaya Woods Blvd
Suite a
Oviedo, FL 32765-6241
Phone
(407) 366-3577
Fax
(407) 366-2646
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5703 FL Primary

Addresses

Primary practice location

110 Alafaya Woods Blvd
Suite a
Oviedo, FL 32765-6241

Mailing address

110 Alafaya Woods Blvd
Suite a
Oviedo, FL 32765-6241
Phone (407) 366-3577

Other identifiers 1

IdentifierTypeStateIssuer
080124904OtherFLMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000046 FL Practitioner - Family Practice 1951442425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS5703FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alafaya Woods Family Medical Center P a CurrentSince Mar 20, 2000 Accepting new patients

Locations

300 E Colonial Dr
Orlando, FL 32801
Phone (407) 839-1045

110 Alafaya Woods Blvd
Ste A
Oviedo, FL 32765
Phone (407) 366-3577

110 Alafaya Woods Blvd
Oviedo, FL 32765
Phone (407) 366-3577

425 Alexandria Blvd
Ste 1010
Oviedo, FL 32765
Phone (407) 877-3842

Interoperability endpoints

  • Direct secure messaging: jeffry.rocker.1@15338.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1013997683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ALAFAYA WOODS BLVD",
            "address_2": "SUITE A",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656241",
            "telephone_number": "407-366-3577",
            "fax_number": "407-366-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ALAFAYA WOODS BLVD",
            "address_2": "SUITE A",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656241",
            "telephone_number": "407-366-3577",
            "fax_number": "407-366-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKER",
        "first_name": "JEFFRY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080124904",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.