ROCKWOOD FAMILY MEDICINE LLC
NPI 1023280856
Family Medicine in Fenton, MO

Active since April 01, 2008
1747 SMIZER STATION RD, SUITE 3B, FENTON, MO 63026(636) 529-9595(636) 529-9494 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rockwood Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCKWOOD FAMILY MEDICINE LLC (NPI 1023280856) is a healthcare organization registered as a family medicine in Fenton, Missouri and active in the NPI registry since April 2008. The organization lists Larry Lee Oteham, Owner, as its authorized official.

NPPES Registry Identity

NPI1023280856
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROCKWOOD FAMILY MEDICINE LLC
Location Address1747 SMIZER STATION RD, SUITE 3BFenton, MO 63026-2784
Mailing Address1747 Smizer Station RdFenton, MO 63026-2784 · (636) 529-9595 · Fax (636) 529-9494
Fax(636) 529-9494
Organization SubpartNo
Authorized OfficialLarry Lee OtehamOwner · (636) 529-9595
Enumeration DateApril 1, 2008
Last NPPES UpdateDecember 17, 2008
NPI 1023280856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 199913565
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1747 SMIZER STATION RD, Fenton, MO 63026

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1747 SMIZER STATION RD, SUITE 3A
FENTON, MO 63026
Chiropractor
1747 SMIZER STATION RD, STE 4
FENTON, MO 63026
Internal Medicine
1747 SMIZER STATION RD
FENTON, MO 63026
Chiropractor
1747 SMIZER STATION RD
FENTON, MO 63026
Specialist
1747 SMIZER STATION RD, SUITE 5
FENTON, MO 63026
Clinic/Center (Health Service)
1747 SMIZER STATION RD, STE. 4
FENTON, MO 63026
Pediatrics
1747 SMIZER STATION RD, SUITE 6
FENTON, MO 63026
Clinic/Center (Multi-Specialty)
1747 SMIZER STATION RD, SUITE 6
FENTON, MO 63026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rockwood Family Medicine LLC's NPI number?

The NPI number for Rockwood Family Medicine LLC is 1023280856. It was assigned to this organization in the NPPES registry on April 1, 2008.

Where is Rockwood Family Medicine LLC located?

Rockwood Family Medicine LLC is located at 1747 Smizer Station Rd Suite 3B, Fenton, MO 63026. The listed phone number is (636) 529-9595.

What is Rockwood Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Rockwood Family Medicine LLC was last updated on December 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.