Kenneth Alan Rock, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

02030 Issued in WV

Practice address

167 S Mineral St
Suite 100
Keyser, WV 26726-2643

Phone

(304) 597-2040

Fax

(304) 597-2042

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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  • NPI 1710993472
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1952378788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 S MINERAL ST",
            "address_2": "SUITE 100",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262643",
            "telephone_number": "304-597-2040",
            "fax_number": "304-597-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S MINERAL ST",
            "address_2": "SUITE 100",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267262643",
            "telephone_number": "304-597-2040",
            "fax_number": "304-597-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "02030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Breann Robertson, PA-C
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• Destiny Dawn Roblero
• Amanda Dawn Roby
• Michaela Tess Roby
• Faith Ann Rodeheaver, FNP-BC
• Ivy Jane Rodeheaver
• Tina Marie Rodeheaver
• Terrie Rogers
• Autumn Suanne Rohrbaugh

• Surgery Physician in Keyser, WV
• Providers in Keyser, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.