Paul M Rocconi, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

08798 Issued in MS

Practice address

5000 W 4TH St
Hattiesburg, MS 39402-1000

Phone

(601) 450-0521

Fax

(601) 450-0554

NPI assigned

Jun 21, 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.

• South Mississippi Associate in Radiation Therapy, PLLC

  • Radiation Oncology Clinic/Center
  • Hattiesburg, MS
  • NPI 1114121373
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1629014113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021000",
            "telephone_number": "601-450-0521",
            "fax_number": "601-450-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021000",
            "telephone_number": "601-450-0521",
            "fax_number": "601-450-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCONI",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "08798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116074",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Allison Robinson, FNP-BC
• Erica McInnis Robinson, DMD
• Michelle Robinson
• Shirley Blanco Robinson, PHARMD
• Sonya Robinson, LMSW
• Rocky Mountain Holdings, LLC
• Rogers Hearing Healthcare, Inc
• Rogers Hearing Healthcare, Inc.
• Bridget Rogers, PHARMD
• Kayla Shea Rogers

• Diagnostic Radiology Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.