Active NPI
Kurt M. Roecker, D.O., P.C.
- Family Medicine Physician
- Monroe, MI
National Provider Identifier
1881904241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101013387
- Legal business name
- KURT M. ROECKER, D.O., P.C.
- Practice address
- 14930 Laplaisance Rd
Suite 118
Monroe, MI 48161-3880 - Phone
- (734) 240-2892
- Fax
- (734) 240-2912
- NPI assigned
- Oct 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kurt M Roecker, D.O.
- Title
- Owner
- Phone
- (734) 240-2892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013387 | MI | Primary |
Addresses
Primary practice location
14930 Laplaisance Rd
Suite 118
Monroe, MI 48161-3880
Mailing address
14930 Laplaisance Rd
Suite 118
Monroe, MI 48161-3880
Phone (734) 240-2892
National Provider Directory
National Provider DirectoryLocations
14930 Laplaisance Rd
Ste 118
Monroe, MI 48161
Phone (734) 240-2892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1881904241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14930 LAPLAISANCE RD",
"address_2": "SUITE 118",
"city": "MONROE",
"state": "MI",
"postal_code": "481613880",
"telephone_number": "734-240-2892",
"fax_number": "734-240-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14930 LAPLAISANCE RD",
"address_2": "SUITE 118",
"city": "MONROE",
"state": "MI",
"postal_code": "481613880",
"telephone_number": "734-240-2892",
"fax_number": "734-240-2912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KURT M. ROECKER, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-19",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "ROECKER",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-240-2892",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "5101013387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.