Provider Demographics
NPI:1861469280
Name:ROCKETT, SEAN E (MD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:E
Last Name:ROCKETT
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 1:313 SPEEN ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1538
Mailing Address - Country:US
Mailing Address - Phone:508-655-0471
Mailing Address - Fax:508-650-3547
Practice Address - Street 1:313 SPEEN ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1538
Practice Address - Country:US
Practice Address - Phone:508-655-0471
Practice Address - Fax:508-650-3547
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155320207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0030659OtherNEIGHBORHOOD HELATH
MA04-2684357OtherTAX ID
MA200042843OtherRAIL ROAD MEDICARE
MA401673OtherTUFTS
MA62252OtherFALLON COMMUNITY HEALTH
MAJ19915OtherBLUE CROSS BLUE SHIELD
MA2614923OtherAETNA HEALTH CARE
MD807949OtherHARVARD PILGRIM HEALTH
MA0127574Medicaid
MA0900565OtherUNITED HEALTH CARE
MA4779737001OtherCIGNA HEALTH PLAN
MA200042843OtherRAIL ROAD MEDICARE
MA0030659OtherNEIGHBORHOOD HELATH
MAG92910Medicare UPIN