Active NPI
James C. Rockwell MD LLC
- Otolaryngology Physician
- Ketchikan, AK
National Provider Identifier
1083848998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2782
- Legal business name
- JAMES C. ROCKWELL MD LLC
- Practice address
- 130 Carlanna Lake Rd
Ketchikan, AK 99901-5611 - Phone
- (907) 247-1515
- NPI assigned
- May 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James C. Rockwell, MD
- Title
- Owner
- Phone
- (425) 228-5228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2782 | AK | Primary |
Addresses
Primary practice location
130 Carlanna Lake Rd
Ketchikan, AK 99901-5611
Mailing address
PO Box 50150
Bellevue, WA 98015-0150
Phone (425) 228-5228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD27823 | Medicaid | AK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245283200000",
"number": "1083848998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980150150",
"telephone_number": "425-228-5228",
"fax_number": "425-228-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CARLANNA LAKE RD",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015611",
"telephone_number": "907-247-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES C. ROCKWELL MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-06",
"last_updated": "2009-06-18",
"status": "A",
"authorized_official_last_name": "ROCKWELL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-228-5228",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "AK",
"license": "2782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD27823",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.