DR. MATTHEW JOSEPH ROLLER (NPI# 1033283379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033283379 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOSEPH ROLLER |
| Credential | MD |
| Practice Address |
1300 S Columbia Rd Grand Forks ND 58201 |
| Mailing Address |
2401 Demers Ave Grand Forks ND 58201 |
| Practice Telephone | 7017802300 |
| Mailing Telephone | 7017801891 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
50324 | MN | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
10400 | ND | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287408 | Matthew Ray Roller | Chiropractor | 9055 S 255 W, Sandy, UT 84070-2654 | 2005-07-07 |
| 1306228499 | Matthew Kai Roller | Social Worker | 3181 Sw Sam Jackson Park Rd, Uhs-8l, Portland, OR 97239-3011 | 2015-06-24 |
| 1710147483 | Matthew Callender Roller | Dentist | 436 S Linden Ave, Waynesboro, VA 22980-3564 | 2008-06-16 |
| Street Address |
1300 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512885 | Bradley P Belluk | Surgery | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2005-07-14 |
| 1306464219 | Leanne Kilzer | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2020-07-07 |
| 1952957847 | Arthur Thorsen | Physician Assistant | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2019-08-15 |
| 1194386581 | Marlie Borowicz | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-26 |
| 1881255503 | Jenna Arnold | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-24 |
| 1720560600 | Maddie Victoria Bjornstad | Occupational Therapist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-09-06 |
| 1609352657 | Jenna Carpenter | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-12 |
| 1053897074 | Laura Goor | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2018-07-12 |
| 1700362969 | Emily Kay Voeller | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-11 |
| 1942796115 | Alison Schoenborn | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337861 | Red River Neurology Clinic | Psychiatry & Neurology | 2812 17th Ave S, Ste D, Grand Forks, ND 58201-4048 | 2005-06-28 |
| 1770876815 | Cory Thomas Edwards | Psychiatry & Neurology | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2011-05-23 |
| 1861628711 | Rebecca Kaye Novacek | Psychiatry & Neurology | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417167628 | Donald Melvin Larson | Psychiatry & Neurology | 2866 Lilac Ln N, Fargo, ND 58102-1703 | 2007-05-23 |
| 1720095482 | Kevin Michael Faber | Psychiatry & Neurology | 2801 S University Dr, Fargo, ND 58103 | 2006-08-02 |
| 1447284500 | Areen T Said | Psychiatry & Neurology | 20 Burdick Expy. E., Minot, ND 58702-4498 | 2006-07-11 |
| 1932151586 | Ralph Timothy Dunnigan | Psychiatry & Neurology | 401 N 9th St., Bismarck, ND 58501-4520 | 2006-05-16 |
| 1164473393 | Ralph T. Dunnigan P.C. | Psychiatry & Neurology | 425 E Avenue C, Bismarck, ND 58501-3942 | 2006-05-12 |
| 1821054347 | Bahram Nico | Psychiatry & Neurology | 20 Burdick Expy W, Minot, ND 58701-4498 | 2006-04-24 |
| 1730141466 | Edgardo Abad Crisostomo | Psychiatry & Neurology | 5225 23rd Ave S, Fargo, ND 58104 | 2006-04-06 |
| 1437590577 | Alexandra Sequeira | Psychiatry & Neurology | 700 1st Ave S, Fargo, ND 58103-1802 | 2013-07-16 |
| 1992093983 | Rosina Bautista Medel | Psychiatry & Neurology | 20 Burdick Expy W, Minot, ND 58701-4498 | 2011-07-12 |
| 1235423393 | Scott M. Belliston | Psychiatry & Neurology | 700 1st Ave S, Fargo, ND 58103-1802 | 2011-06-07 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.