| NPI | 1336216704 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-11-29 |
| Last Updated | 2024-06-03 |
| Mailing Address | 101 Eyster Blvd Rockledge, FL 32955-3608 United States Phone: (321) 806-3929 | Fax: (321) 806-3928 📍 View Map |
| Primary Practice Address | 101 Eyster Blvd Rockledge, FL 32955-3608 United States Phone: (321) 806-3929 | Fax: (321) 806-3928 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 116624300 | - |
| Other (non-Medicare) | - | MS058523 | COMMERCIAL-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207V00000X – Obstetrics & Gynecology | MI | 058523 |
| No | 207V00000X – Obstetrics & Gynecology | FL | ME100296 |
| Yes | 207VF0040X – Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | FL | ME100296 |
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About NPI 1336216704
Marja J Sprock M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336216704. The primary specialty listed is Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery. The provider is located in Rockledge, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1336216704?
NPI 1336216704 belongs to Marja J Sprock M.D., a Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in Rockledge, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336216704 active?
The current status of NPI 1336216704 in the NPPES registry is Active. The record was last updated on 2024-06-03.
What specialty is NPI 1336216704?
NPI 1336216704 is classified under the taxonomy Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1336216704?
You can verify NPI 1336216704 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1336216704?
The primary practice address on file for NPI 1336216704 is 101 Eyster Blvd, Rockledge, FL 32955-3608. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336216704 issued?
NPI 1336216704 was first issued (enumerated) on 2006-11-29. The NPPES record was last updated on 2024-06-03.
Practice Location Map
Marja J Sprock is located at 101 Eyster Blvd, Rockledge, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Marja J Sprock. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1336216704. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Obstetrics & Gynecology | 058523 | MI |
| Obstetrics & Gynecology | ME100296 | FL |
| Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | ME100296 | FL |