Provider Demographics
NPI:1538958947
Name:ROCCO FOOT AND ANKLE INSTITUTE PC
Entity type:Organization
Organization Name:ROCCO FOOT AND ANKLE INSTITUTE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ROCCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-644-8795
Mailing Address - Street 1:1101 N OAK FOREST RD
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-2258
Mailing Address - Country:US
Mailing Address - Phone:801-644-8795
Mailing Address - Fax:
Practice Address - Street 1:5782 ADAMS AVE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON TERRACE
Practice Address - State:UT
Practice Address - Zip Code:84405-6947
Practice Address - Country:US
Practice Address - Phone:801-917-8000
Practice Address - Fax:801-917-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty