Active NPI
Michael Rockwell, MD
- Specialist
- Phoenix, AZ
National Provider Identifier
1881699064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 06563
- Practice address
- 2702 N 3Rd St
Ste 1000
Phoenix, AZ 85004-4605 - Phone
- (602) 241-1671
- Fax
- (602) 265-6258
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 06563 | AZ | Primary |
Addresses
Primary practice location
2702 N 3Rd St
Ste 1000
Phoenix, AZ 85004-4605
Mailing address
2702 N 3Rd St
Ste 1000
Phoenix, AZ 85004-4605
Phone (602) 241-1671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218562 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06563 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1881699064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 N 3RD ST",
"address_2": "STE 1000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044605",
"telephone_number": "602-241-1671",
"fax_number": "602-265-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 N 3RD ST",
"address_2": "STE 1000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044605",
"telephone_number": "602-241-1671",
"fax_number": "602-265-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWELL",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "06563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218562",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.