Organization Active NPI

Roc & Associates M. D. , P. C.

  • Surgery Physician
  • Canton, MI
National Provider Identifier
1053557223
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ROC & ASSOCIATES M. D. , P. C.
Practice address
8554 N Canton Center Rd
Canton, MI 48187-1310
Phone
(734) 459-7630
Fax
(734) 459-1035
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Gilbert Matas Roc, M. D.
Title
President
Phone
(734) 459-7630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

8554 N Canton Center Rd
Canton, MI 48187-1310

Mailing address

8554 N Canton Center Rd
Canton, MI 48187-1310
Phone (734) 459-7630

Other identifiers 3

IdentifierTypeStateIssuer
40306552OtherAETNA
3089029 TYPE 10MedicaidMI
0H25056OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • GILBERT M ROC M. D., P. C. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1053557223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8554 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-459-7630",
            "fax_number": "734-459-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8554 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-459-7630",
            "fax_number": "734-459-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROC & ASSOCIATES M. D. , P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "ROC",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "MATAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-459-7630",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "40306552",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089029 TYPE 10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0H25056",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GILBERT M ROC M. D., P. C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.