DR. JOHN ORVILLE ROLLER (NPI# 1285636753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285636753 |
Entity Type | Individual |
Full Name | DR. JOHN ORVILLE ROLLER |
Credential | D.P.M. |
Practice Address |
1691 S Bus Hwy 65 Hollister MO 65672-6342 |
Mailing Address |
Po Box 147 Hollister MO 65673-0147 |
Practice Telephone | 4173363210 |
Practice Fax Number | 4173363201 |
Mailing Telephone | 4173363210 |
Mailing Fax Number | 4173363201 |
Enumeration Date | 2005-08-12 |
Last Update Date | 2007-12-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
000740 | MO | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RR MCR | P00357831 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952325185 | John R Roller | Dentist | 436 S Linden Ave, Waynesboro, VA 22980-3506 | 2006-07-27 |
1447607627 | John Roller | Internal Medicine | 2650 Shawnee Mission Pkwy, Westwood, KS 66205-2003 | 2016-05-18 |
1508186008 | John Daniel Roller | Dentist | 1420 13th St, Waynesboro, VA 22980-3624 | 2010-06-07 |
Street Address |
1691 S BUS HWY 65 |
City | HOLLISTER |
State | MO |
Zip Code | 65672-6342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760992994 | Lajan Kayle Taylor | Speech-Language Pathologist | 11103 Historic Hwy. 165, Hollister, MO 65672 | 2017-10-02 |
1417094087 | Canote Pharmacy, Inc | Pharmacy | 215 Gage Drive, Suite L, Hollister, MO 65672 | 2007-01-31 |
1538247887 | Skaggs Community Hospital Association | Pediatrics | 590 Birch Street, Ste 2c, Hollister, MO 65672 | 2006-11-02 |
1396797585 | Christopher S Fletcher | Family Medicine | 10994 Historic Hwy 165, Hollister, MO 65672 | 2006-05-16 |
1366443962 | Johnny Lee Gillispie | Internal Medicine | 590 Birch Rd, Ste 1b, Hollister, MO 65672 | 2005-08-03 |
1154508752 | Woman's Clinic of Branson, LLC | Obstetrics & Gynecology | 590 Birch Rd, Suite 2-b, Hollister, MO 65672 | 2008-01-25 |
1164561148 | Canote Pharmacy, Inc | Pharmacy | 215 Gage Drive, Suite K, Hollister, MO 65672 | 2007-02-06 |
1316373145 | Toni D Mcclure | Social Worker | 115 Deep Forrest, Hollister, MO 65672-4104 | 2013-09-25 |
1548365448 | R Randall Sukman | Internal Medicine | 2331 S Business Highway 65, Hollister, MO 65672-5105 | 2006-09-14 |
1629230826 | Lionheart Holdings, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2331 S Business Highway 65, Hollister, MO 65672-5105 | 2008-06-28 |
Find all providers in zip 65672 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710998851 | Roller Enterprises LLC | Podiatrist | 1691 S Business Highway 65, Hollister, MO 65672-6342 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972826071 | Douglas A Krauss Inc | Podiatrist | 11132 S Towne Sq Ste 105, Saint Louis, MO 63123-7818 | 2010-03-04 |
1265667802 | Golden Age Footcare | Podiatrist | 323 S. 169 Highway, Gower, MO 64454-9116 | 2009-05-27 |
1881766863 | Patrick Anderson Mcshane | Podiatrist | 1834 S Stewart Ave, Springfield, MO 65804-2519 | 2006-11-14 |
1174621056 | Robert R Shemwell | Podiatrist | 246 E Hwy 54, Ste A, Camdenton, MO 65020 | 2006-09-21 |
1336245125 | Boremy Ly | Podiatrist | 7818 N Hull Ave, Kansas City, MO 64151-1532 | 2006-09-16 |
1396701108 | Chris Robert Guerrieri | Podiatrist | 2800 Ne 60th St, Gladstone, MO 64119-2036 | 2006-04-21 |
1194703017 | James Thomas Main Jr. | Podiatrist | 1854 Broadway St, Cape Girardeau, MO 63701-4553 | 2006-01-03 |
1700085453 | Golden Age Footcare Inc | Podiatrist | 7818 N Hull Ave, Kansas City, MO 64151-1532 | 2007-07-13 |
1083821904 | Michael N. Fine, Dpm, PC | Podiatrist | 2790 Clay Edwards Dr, Ste 570, Kansas City, MO 64116-3276 | 2007-05-17 |
1396952990 | Brian K Haith Dpm Pa | Podiatrist | 6724 Troost Ave, Suite 302, Kansas City, MO 64131-1500 | 2007-05-16 |
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.