Perry C. Rothrock III, M.D. PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37500 Issued in TN

Legal business name

PERRY C. ROTHROCK III, M.D. PLLC

Practice address

8309 Cordova Rd
Cordova, TN 38016-2046

Phone

(901) 757-9984

Fax

(901) 757-0536

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Perry Clyde Rothrock III, M.D.NPI 1023093655

Title

Owner

Phone

(901) 757-9984

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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.

• Perry Clyde Rothrock III, M.D.

  • Family Medicine Physician
  • Cordova, TN
  • NPI 1023093655
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1619138377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 CORDOVA RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162046",
            "telephone_number": "901-757-9984",
            "fax_number": "901-757-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 CORDOVA RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162046",
            "telephone_number": "901-757-9984",
            "fax_number": "901-757-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY C. ROTHROCK III, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "ROTHROCK",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-757-9984",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "37500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahy Perez-Ayala
• Perfectly Pieced
• Kate Elizabeth Perkins, ATC
• Katherine Elizabeth Perkins, APRN
• Casey Leigh Permenter, LCSW, CCM, CPHQ
• Brittany Renee' Perry
• Danielle Perry
• Steward Antonio Perry
• Delaney Peters
• Madison D Pettigrew, MSN, APN, PMHNP-BC

• Family Medicine Physician in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.