Provider Demographics
NPI:1427080084
Name:ROCKEY, DANIEL K (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:K
Last Name:ROCKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35053838R2085R0202X, 2085R0204X
OH35-0538382085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH34165342900OtherGROUP WORKERS COMP #
OHCC0299OtherGRP RR MEDICARE #
OH000000028415OtherGROUP ANTHEM BC/BS
OH341653429006OtherGRP MEDICAL MUTUAL OF OH.
OH000000028985OtherANTHEM INDIVIDUAL ID
OH0842637Medicaid
OH0798445Medicaid
OH341653429OtherGROUP TAX ID #
OH300037100OtherRAILROAD MEDICARE
OHP00729453OtherRAILROAD MEDICARE
OH0798445Medicaid
OH341653429OtherGROUP TAX ID #
OH300037100OtherRAILROAD MEDICARE
OHRO0682222Medicare ID - Type UnspecifiedINDIVIDUAL