Rockwood Medical Clinic, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0411 Issued in TX

Legal business name

ROCKWOOD MEDICAL CLINIC, P.A.

Practice address

1217 Grand Ave
Fort Worth, TX 76106-9041

Phone

(817) 625-7733

Fax

(817) 740-1602

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Lee Garza

Title

Office Manager

Phone

(817) 625-7733

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: alexguevara@rmcfw.allscriptsdirect.net

Practitioners 3

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

• Alex Guevara Jr., D.O.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1699768481
  Medicare reassignment NPD
• Brenda Ochieng, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1346715315
  NPD (past)
• Linda Ochieng

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1851769095
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1033311857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4705",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761640705",
            "telephone_number": "817-625-7733",
            "fax_number": "817-740-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 GRAND AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761069041",
            "telephone_number": "817-625-7733",
            "fax_number": "817-740-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD MEDICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-625-7733",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J1230",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luciana Rochetti, PA-C
• Gregory Jean Rochfort, M.D.
• Austin A Rock, RPH
• Rockwall Investors Limited, LLC
• Leteshia Rockwell, LCSW
• Rockwood Wellness Clinic LLC
• William C Roddy, D.D.S.
• Lauren Rodell, NP
• Ryan Rodems, ATC
• Rodeo Dental Main Street, PLLC

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.