Rodney A Marcom (NPI# 1588631659, PAC ID# 1355351248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1588631659 |
| PAC ID by PECOS | 1355351248 |
| Professional Enrollment ID | I20060421000017 |
| Full Name | Rodney A Marcom |
| Address |
12276 San Jose Blvd Suite 210 Jacksonville FL 32223-8631 |
| Gender | M |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100090 | FLAGLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12276 San Jose Blvd, Suite 210, Jacksonville, FL 32223-8631 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
12276 SAN JOSE BLVD SUITE 210 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32223-8631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Anne Staverman | Qualified Audiologist | 12276 San Jose Blvd, Suite 710, Jacksonville, FL 32223-8674 | |
| Thuraia T Owais | Chiropractic | 12276 San Jose Blvd, Suite 512, Jacksonville, FL 32223-8618 | |
| Belinda Kirkland | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12276 San Jose Blvd, Suite 716 and 717, Jacksonville, FL 32223-8628 |
| Luna I Khadour | Family Medicine | Memorial Family Practice Associates, LLC | 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8660 |
| Dana M Harrington | Nurse Practitioner | Fountain Family Medicine Pa | 12276 San Jose Blvd, Unit 617, Jacksonville, FL 32223-8672 |
| Jared S. Ernest | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12276 San Jose Blvd, Suite 716 and 717, Jacksonville, FL 32223-8628 |
| Efstratios D Lagoutaris | Podiatry | Podiatry Associates of Florida Inc | 12276 San Jose Blvd, Suite 606, Jacksonville, FL 32223-8672 |
| Todd C Lewis | Cardiovascular Disease (cardiology) | Drs Baker and Gilmour Md Pa | 12276 San Jose Blvd, Suite 617, Jacksonville, FL 32223-8672 |
| Amanda M Garland | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12276 San Jose Blvd, Suite 716 and 717, Jacksonville, FL 32223-8628 |
| Teri L Tyer | Physician Assistant | Fountain Family Medicine Pa | 12276 San Jose Blvd, Unit 617, Jacksonville, FL 32223-8672 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Watts | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Brett D O'connor | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Steve M Pullen | Optometry | Stephen M Pullen Pa | 11945 San Jose Blvd, Suite 202, Jacksonville, FL 32223-1612 |
| Nikkita L Wilkes | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Todd J Rasner | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Mitzi C Brock | Obstetrics/gynecology | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Sirlys Arcon Rios | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Natasha Guerra Farrow | Nurse Practitioner | Florida Woman Care LLC | 11945 San Jose Blvd, Suite 400, Jacksonville, FL 32223-1627 |
| Lananh Ly | Nurse Practitioner | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Melissa A Morgan | Endocrinology | Baptist Primary Care Inc | 11945 San Jose Blvd, Suite 301, Jacksonville, FL 32223-1627 |
| Find all physicians in zip 32223 | |||
| City | JACKSONVILLE |
| Zip Code | 32223 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | JACKSONVILLE + OSTEOPATHIC MANIPULATIVE MEDICINE |
Please comment or provide details below to improve the information on Rodney A Marcom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.