Organization Active NPI

Hilleary C Rockwell MD

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1659762870
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HILLEARY C ROCKWELL MD
Doing business as
Hilleary C Rockwell MD
Practice address
2360 Park St
Jacksonville, FL 32204-4318
Phone
(904) 388-4280
Fax
(904) 388-4279
NPI assigned
Feb 10, 2015
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Hilleary C Rockwell, MDNPI 1790770758
Title
President
Phone
(904) 388-3351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2360 Park St
Jacksonville, FL 32204-4318

Mailing address

2360 Park St
Jacksonville, FL 32204-4318
Phone (904) 388-4280

Other names 1

  • HILLEARY C ROCKWELL MD Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0933518Hilleary Rockwell III MD2360 Park Street, Jacksonville, FL 32204Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Locations

2360 Park St
Jacksonville, FL 32204
Phone (904) 388-4280

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1659762870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044318",
            "telephone_number": "904-388-4280",
            "fax_number": "904-388-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044318",
            "telephone_number": "904-388-4280",
            "fax_number": "904-388-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLEARY C ROCKWELL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "HILLEARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-388-3351",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILLEARY C ROCKWELL MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.