Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rockwood Family Medicine LLC

Organization Family Medicine Physician · NPI 1023280856

Rockwood Family Medicine LLC is a Family Medicine Physician in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1747 Smizer Station Rd Ste 3B
Fenton, MO 63026-2784
Phone: (636) 529-9595
Fax: (636) 529-9494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 199913565 (MO)

Record details

NPI number1023280856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Oteham — Owner · (636) 529-9595
NPI enumeratedApril 1, 2008
Last updated in NPPESDecember 17, 2008
Mailing address1747 Smizer Station Rd, Fenton, MO 63026-2784

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