Rockfish Medical Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROCKFISH MEDICAL CLINIC, PLLC

Doing business as

The Jordan Clinic

Practice address

116 Campus Avenue
Raeford, NC 28376

Phone

(910) 875-9087

NPI assigned

Mar 14, 2007

Last updated

Mar 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Luis CaceresNPI 1407818586

Title

PA-C Office MGR.

Phone

(910) 875-9087

Specialties & licenses 1

Addresses

Other names 1

• The Jordan Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Luis Caceres Jr., PA-C

  • Medical Physician Assistant
  • Raeford, NC
  • NPI 1407818586
  NPD Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1629101746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CAMPUS AVENUE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "28376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CAMPUS AVENUE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "28376",
            "telephone_number": "910-875-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFISH MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PA-C  OFFICE MGR.",
        "authorized_official_telephone_number": "910-875-9087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Jordan Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Right Foundation Inc
• Tamra E Rivers, LCSW, LCAS
• Danielle Marie Roberts
• Caroline Robinson, NP
• Carolyn Floyd Robinson, LCAS, CCS, LCSWA
• Rockfish Pharmacy Inc
• Brian Patrick Rose, PAC
• Joshua Michael Rosinski, D.C.
• Kelly S Rossi, LCSW
• Jill Ann Roy

• Family Medicine Physician in Raeford, NC
• Providers in Raeford, NC by specialty
• Family Medicine Physician in North Carolina

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