Rockwall Neurology, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

P5324 Issued in TX

Legal business name

ROCKWALL NEUROLOGY, PA

Practice address

9330 Poppy Dr
Suite 500B
Dallas, TX 75218-4621

Phone

(469) 443-0742

Fax

(469) 443-0501

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

Julio Andino, MD

Title

President

Phone

(469) 443-0742

Specialties & licenses 1

Addresses

Tax ID family

Rockwall Neurology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rockwall Neurology, PA

  • Neurology Physician
  • Rowlett, TX
  • NPI 1235561937
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7515/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/JGGBBD

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1033500475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LAKEVEIW PARKWAY",
            "address_2": "SUITE 245",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889326",
            "telephone_number": "469-443-0742",
            "fax_number": "469-443-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR",
            "address_2": "SUITE 500B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184621",
            "telephone_number": "469-443-0742",
            "fax_number": "469-443-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "ANDINO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-443-0742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P5324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn M Rock, DPT
• Kerryn Mortimer Rock, MD
• Patrick J Rock, MD
• Rocklio Holdings LLC
• Rockwall Cardio-Pulmonary Services Inc
• Rockwall Sleep Lab
• Rockwall Wellness Center, LLP
• Donna R Rockwell, CRNA,PC
• Jill Marie Rockwell, RD, LD, CNSD
• Kemearea Kemajia Rockwell

• Neurology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.