Individual provider Active NPI

James Andrew Morock Sr., M.D., FACP

  • Nephrology Physician
  • Alexandria, LA
National Provider Identifier
1073784955
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.011583 Issued in LA
Practice address
3915 Maywood St
Alexandria, LA 71302-2526
Phone
(318) 442-5776
Fax
(318) 442-5796
NPI assigned
Mar 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.011583 LA Primary

Addresses

Primary practice location

3915 Maywood St
Alexandria, LA 71302-2526

Mailing address

3915 Maywood St
Alexandria, LA 71302-2526
Phone (318) 442-5776

Other identifiers 1

IdentifierTypeStateIssuer
1142654MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160615000448 LA Order and Referring Only - Internal MedicinePractitioner - NephrologyPractitioner - Internal Medicine 3870884273

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1073784955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 MAYWOOD ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713022526",
            "telephone_number": "318-442-5776",
            "fax_number": "318-442-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 MAYWOOD ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713022526",
            "telephone_number": "318-442-5776",
            "fax_number": "318-442-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROCK",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D., FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.011583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1142654",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.