Individual provider Active NPI

Valerie Rockenberger, DO

  • Internal Medicine Physician
  • East Palestine, OH
National Provider Identifier
1104811777
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34007008R Issued in OH
Practice address
1517 N Market St
East Palestine, OH 44413-1153
Phone
(330) 426-2900
Fax
(330) 800-9255
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34007008R OH Primary

Addresses

Primary practice location

1517 N Market St
East Palestine, OH 44413-1153

Mailing address

1517 N Market St
East Palestine, OH 44413-1153
Phone (330) 426-2900

Other identifiers 1

IdentifierTypeStateIssuer
2078086MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007008ROHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1104811777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 N MARKET ST",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131153",
            "telephone_number": "330-426-2900",
            "fax_number": "330-800-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 N MARKET ST",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131153",
            "telephone_number": "330-426-2900",
            "fax_number": "330-800-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKENBERGER",
        "first_name": "VALERIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34007008R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078086",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palestine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.