Marja J Sprock MD, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

G10000003345 Issued in FL

Legal business name

MARJA J SPROCK MD, PLLC

Practice address

101 Eyster Blvd
Rockledge, FL 32955-3608

Phone

(321) 806-3929

Fax

(321) 809-3923

NPI assigned

Feb 6, 2010

Organization subpart

No

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

Authorized official

Name

Tristan Kattenberg

Title

Office Manager

Phone

(321) 338-2726

Specialties & licenses 2

Addresses

Other names 1

• Central Florida UroGynecology Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: admin@cfug.kareodirect.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marja J Sprock, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Rockledge, FL
  • NPI 1336216704
  Medicare reassignment NPD

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1992037501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EYSTER BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553608",
            "telephone_number": "321-806-3929",
            "fax_number": "321-806-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EYSTER BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553608",
            "telephone_number": "321-806-3929",
            "fax_number": "321-809-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJA J SPROCK MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-06",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "KATTENBERG",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-338-2726"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "G10000003345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADMIN@CFUG.KAREODIRECT.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "xml pdf",
            "address_1": "101 Eyster Blvd",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329553608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Central Florida UroGynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Marchant
• Grace Marchino
• Marianna Zadov, P.a
• Erin T Mariano, MD
• Marilyn Bennett, LMHC
• Jacob Markisen
• Lucas Marlatt, ARNP
• Mildred Enid Marrero, OTR
• Kara Helen Marshall, D.D.S.
• Michelle Marshall, CRNA

• Health Service Clinic/Center in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.