Healthcare Provider Details

I. General information

NPI: 1447754759
Provider Name (Legal Business Name): ANDREW KARL ROCK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 WARDEN RD STE 100
SHERWOOD AR
72120-6015
US

IV. Provider business mailing address

6020 WARDEN RD STE 100
SHERWOOD AR
72120-6015
US

V. Phone/Fax

Practice location:
  • Phone: 501-552-6400
  • Fax:
Mailing address:
  • Phone: 501-552-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberW5945
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberE-19356
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number64079
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: