Rocky Mountain Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32037 Issued in AZ

Legal business name

ROCKY MOUNTAIN MEDICAL PLLC

Practice address

1003 Division St
Ste 1
Prescott, AZ 86301-1657

Phone

(928) 777-2425

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Herman Charles Heikkenen, M.D.NPI 1437228749

Title

Ceo

Phone

(928) 777-2425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Herman Charles Heikkenen, MD

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1437228749
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1285773549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2527",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863022527",
            "telephone_number": "928-777-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 DIVISION ST",
            "address_2": "STE 1",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011657",
            "telephone_number": "928-777-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "HEIKKENEN",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-777-2425",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Kay Rock, PHARMD
• Howard R Rockett, LCSW
• Dana Joe Rockey, D.M.D.
• Rocking Horses PLLC
• Rocky Mountain Holdings, LLC
• Roger a. Van Atta MD PC
• Roger Jenkins MD PLC
• Adam Francis Rogers, LISAC
• Brandie Rogers, FNP-C
• Justin Earl Rogers, MSN, APRN, AGACNP-BC

• Family Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.

Verify at the official NPI Registry.