GREGORY JAMES ROSCOE (NPI# 1124109335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124109335 |
| Entity Type | Individual |
| Full Name | GREGORY JAMES ROSCOE |
| Credential | DMD, MD |
| Practice Address |
871 Beaver Dr Du Bois PA 15801-2511 |
| Mailing Address |
871 Beaver Drive Po Box 308 Dubois PA 15801-0308 |
| Practice Telephone | 8143750455 |
| Practice Fax Number | 8143752721 |
| Mailing Telephone | 8143750455 |
| Mailing Fax Number | 8143752721 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD038440L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 161530 | 01 |
| PA | RAILROAD MEDICARE, PIN | 040000667 | 01 |
| PA | 0008776540004 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902254634 | Gregory Roscoe | Contractor | 1301 Beaver Ave, Pittsburgh, PA 15233-2342 | 2016-06-03 |
| Street Address |
871 BEAVER DR |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497389092 | Megan Morrow-burkett | Nurse Practitioner | 871 Beaver Dr, Du Bois, PA 15801-2511 | 2020-02-24 |
| 1164915591 | Rebecca Ann Gongloff | Physician Assistant | 871 Beaver Dr, Du Bois, PA 15801-2511 | 2018-06-11 |
| 1750835237 | Stacey Johnson | Hearing Instrument Specialist | 871 Beaver Dr, Du Bois, PA 15801-2511 | 2016-08-12 |
| 1972997575 | Ashleigh Valenza | Audiologist | 871 Beaver Dr, Du Bois, PA 15801-2511 | 2015-03-23 |
| 1801165006 | Heidi L Gregg | Nurse Practitioner | 871 Beaver Dr, Du Bois, PA 15801-2511 | 2011-12-19 |
| 1235204611 | Clearfield Jefferson Head and Neck Surgical Associates, Inc. | Audiologist | 871 Beaver Dr, Du Bois, PA 15801-2511 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823042 | Michael Anthony Freiman | Otolaryngology | 145 Hospital Ave Ste 312, Du Bois, PA 15801-1465 | 2005-12-23 |
| 1548689730 | Ryan Gerritsen | Otolaryngology | 145 Hospital Ave Ste 312, Du Bois, PA 15801-1465 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043877319 | Health Services of Clarion, Inc. | Otolaryngology | 30 Pinnacle Dr Ste 301, Clarion, PA 16214-3800 | 2019-05-22 |
| 1134680747 | Providence Ear Nose & Throat Associates Inc | Otolaryngology | Riddle Mem. Hosp.- Outpt. Pav., 1098 W. Baltimore Pk. Ste 3406, Media, PA 19063-5139 | 2019-03-27 |
| 1619437654 | Providence Ear Nose & Throat Associates Inc | Otolaryngology | 500 Evergreen Dr Ste 18, Glen Mills, PA 19342-1032 | 2019-03-25 |
| 1659844264 | David C Hughes | Otolaryngology | 1047 Lilac St, Indiana, PA 15701-2459 | 2019-01-07 |
| 1790278372 | Vishaal Patel | Otolaryngology | 3440 N Broad St # 300, Philadelphia, PA 19140-5104 | 2018-06-08 |
| 1710409594 | Philippe Lavigne | Otolaryngology | 200 Lothrop St Ste 300, Pittsburgh, PA 15213-2536 | 2017-07-12 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1417313255 | Robert Guelcher | Otolaryngology | 521 Montmarc Blvd, Erie, PA 16504-2611 | 2016-01-09 |
| 1689057804 | Rui Jun Lin | Otolaryngology | 2533b Wharton St, Pittsburgh, PA 15203-5103 | 2015-07-07 |
| 1861870511 | Giuseppe V Staltari | Otolaryngology | 203 Lothrup Street, Eye and Ear Building, Suite 500, Pittsburgh, PA 15213-2536 | 2015-05-14 |
| Find all providers with the same taxonomy | ||||
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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.