Marc Stephen Rocklin, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

17406 Issued in OK

Practice address

4735 E 91St St
#200
Tulsa, OK 74137-2804

Phone

(918) 794-4788

Fax

(918) 794-4789

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles R Gordon MD PA

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1982717955
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1316974389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE",
            "address_2": "SUITE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363347",
            "telephone_number": "918-488-6001",
            "fax_number": "918-488-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 E 91ST ST",
            "address_2": "#200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372804",
            "telephone_number": "918-794-4788",
            "fax_number": "918-794-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKLIN",
        "first_name": "MARC",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OK",
            "license": "17406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100029110A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rock Springs Medical Center, P.C.
• Kyle Rock, M.D.
• Paul B. Rock, D.O.
• Anthony Lee Rockefeller, R.N.
• Andrew Rockenhaus, CRNA
• William Rockwell
• Rocky Mountain Holdings, LLC.
• Rod Purdie M D P C
• Aubrey G Rodden
• Denise Roddy, O.D.

• Colon & Rectal Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Colon & Rectal Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.