NPIMap

Organization Active NPI

Polk County Board of County Commissioners (Polk County Bocc)

  • General Practice Physician
  • Bartow, FL
National Provider Identifier
1154462703
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
POLK COUNTY BOARD OF COUNTY COMMISSIONERS (POLK COUNTY BOCC)
Doing business as
THE ROHR HOME PHYSICIANS
Practice address
2120 Marshall Edwards Dr
Bartow, FL 33830-6731
Phone
(863) 519-7579
Fax
(863) 519-4783
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mr. Samuel (Sam) Johnson
Title
Chairman
Phone
(863) 534-6049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2120 Marshall Edwards Dr
Bartow, FL 33830-6731

Mailing address

2135 Marshall Edwards Dr
Bartow, FL 33830-6757
Phone (863) 519-7579

Other identifiers 1

IdentifierTypeStateIssuer
010168101MedicaidFL

Other names 1

  • THE ROHR HOME PHYSICIANS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Polk County Board of County10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1154462703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 MARSHALL EDWARDS DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306757",
            "telephone_number": "863-519-7579",
            "fax_number": "863-519-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MARSHALL EDWARDS DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306731",
            "telephone_number": "863-519-7579",
            "fax_number": "863-519-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY BOARD OF COUNTY COMMISSIONERS (POLK COUNTY BOCC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMUEL (SAM)",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "863-534-6049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010168101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE ROHR HOME PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.