Active NPI
Douglas Brent Rock, M.D.
- Radiation Oncology Physician
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 36547
- Practice address
- 750 Wellington Ave
St. Mary's Medical Pavilion, Radiation Oncology
Grand Junction, CO 81501-6132 - Phone
- (970) 244-2442
- Fax
- (970) 244-7008
- NPI assigned
- Jul 8, 2005
- Last updated
- Jul 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 36547 | CO | Primary |
Addresses
Primary practice location
750 Wellington Ave
St. Mary's Medical Pavilion, Radiation Oncology
Grand Junction, CO 81501-6132
Mailing address
751 Horizon CT
Suite 259
Grand Junction, CO 81506-8733
Phone (970) 257-1786
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1365477 | Medicaid | CO | |
| 841340905003 | Other | CO | ROCKY MOUNTAIN |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36547 | CO | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients |
Locations
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
750 Wellington Ave
Grand Junction, CO 81501
Phone (970) 298-7500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1275531725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 HORIZON CT",
"address_2": "SUITE 259",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068733",
"telephone_number": "970-257-1786",
"fax_number": "970-257-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 WELLINGTON AVE",
"address_2": "ST. MARY'S MEDICAL PAVILION, RADIATION ONCOLOGY",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016132",
"telephone_number": "970-244-2442",
"fax_number": "970-244-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "DOUGLAS",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CO",
"license": "36547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1365477",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCKY MOUNTAIN",
"identifier": "841340905003",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
- Jan Michelle Robinson, RN, MA
- Leslie D Robinson, MD
- Sarah A Robinson
- Kari Robles, LMSW
- James Roche
- Rocky Mountain Clinics LLC
- Rocky Mountain Clinics, LLC
- Rocky Mountain Health Maintenance Organization, Inc (Rocky Mountain Health Plans)
- Rocky Mountain Health MGMT Corp
- Rocky Mountain Orthopaedic Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.