Active NPI
James Clyde Rockwell, MD
- Otolaryngology Physician
- Seattle, WA
National Provider Identifier
1821047747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 22946
- Practice address
- 901 Boren Ave
Ste 1530
Seattle, WA 98104-3560 - Phone
- (206) 624-3561
- Fax
- (206) 624-3655
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 22946 | WA | Primary |
Addresses
Primary practice location
901 Boren Ave
Ste 1530
Seattle, WA 98104-3560
Mailing address
PO Box 50150
Bellevue, WA 98015-0150
Phone (425) 228-5228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD27823 | Medicaid | AK | |
| 1057124 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060125000981 | WA | Practitioner - Otolaryngology | 9133163140 | Practice locations: Seattle, WA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22946 | WA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Past | Accepting new patients | |
| The Petersburg Medical Center | Past | Accepting new patients | |
| James C. Rockwell | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Seattle, WA
- NPI 1891973814
-
- Internal Medicine Physician
- Bellingham, WA
- NPI 1356309553
-
- Critical Access Hospital
- Petersburg, AK
- NPI 1790845204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1821047747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980150150",
"telephone_number": "425-228-5228",
"fax_number": "425-228-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOREN AVE",
"address_2": "STE 1530",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043560",
"telephone_number": "206-624-3561",
"fax_number": "206-624-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWELL",
"first_name": "JAMES",
"middle_name": "CLYDE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "22946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD27823",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1057124",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.