Active NPI
Steward Rockledge Hospital, Inc.
- General Acute Care Hospital
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 4132
- Legal business name
- STEWARD ROCKLEDGE HOSPITAL, INC.
- Practice address
- 110 Longwood Ave
Rockledge, FL 32955-2828 - Phone
- (321) 636-2211
- NPI assigned
- Apr 20, 2017
- Last updated
- Jun 4, 2019
- 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
- John Doyle
- Title
- Cfo
- Phone
- (469) 341-8804
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | NU | ||
| General Acute Care Hospital | 282N00000X | 4132 | FL | Primary |
Addresses
Primary practice location
110 Longwood Ave
Rockledge, FL 32955-2828
Mailing address
1900 N Pearl St Ste 2400
Dallas, TX 75201-2470
Phone (469) 341-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060110000782 | FL | Part B Supplier - Clinic/Group Practice | 2062435696 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Merritt Island, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Riverside Family Health PL
- Family Medicine Physician
- Merritt Island, FL
- NPI 1477568186
O20060110000782
National Provider Directory
National Provider Directory- Tax ID family
- Riverside Family Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Riverside Family Health PL
- Family Medicine Physician
- Merritt Island, FL
- NPI 1477568186
Locations
1257 Florida Ave S
Ste 3
Rockledge, FL 32955
Phone (321) 637-7690
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Merritt Island, FL
- NPI 1346212933
-
- Family Nurse Practitioner
- Merritt Island, FL
- NPI 1770206344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559606400000",
"number": "1235663899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N PEARL ST STE 2400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752012470",
"telephone_number": "469-341-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LONGWOOD AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552828",
"telephone_number": "321-636-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEWARD ROCKLEDGE HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-20",
"last_updated": "2019-06-04",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "469-341-8804"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "FL",
"license": "4132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.