Lewis B Rock III, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD00027081 Issued in WA

Practice address

2375 30TH Ave NE
Issaquah, WA 98029-3618

Phone

(425) 260-4051

NPI assigned

Dec 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sandy Rock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1194054247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 30TH AVE NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980293618",
            "telephone_number": "425-260-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 30TH AVE NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980293618",
            "telephone_number": "425-260-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "LEWIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WA",
            "license": "MD00027081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "ROCK",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory James Robertson, N.D.
• Margaret Robertson, D.C.
• Emily Robinson
• Nicole Robinson, ARNP, CPNP, DNP
• Lauren Rocha, DNP, CPNP-PC
• Carsten Rode
• Wyatt Roderick
• Hannah M Rodrigues, PA-C
• Kiley Serenity Roesch, L.M.P.
• Erin Roeter

• Public Health & General Preventive Medicine Physician in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Public Health & General Preventive Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.