Organization Active NPI

Kurt M. Roecker, D.O., P.C.

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1881904241
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013387 Issued in MI
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

Updated by the provider on Jun 14, 2012

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.