DR. BRIAN WRIGHT ROE (NPI# 1396007894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396007894 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WRIGHT ROE |
| Credential | D.O. |
| Practice Address |
5514 Corporate Dr Ste 150 Saint Joseph MO 64507 |
| Mailing Address |
5514 Corporate Dr Ste 150 Saint Joseph MO 64507-7763 |
| Practice Telephone | 8162711265 |
| Practice Fax Number | 8162714060 |
| Mailing Telephone | 8162711265 |
| Mailing Fax Number | 8162714060 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2019024490 | MO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OT012887 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2019024490 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4170 City Ave, Philadelphia, PA 191311610 | 2158716693 | 2158716695 |
| Street Address |
5514 CORPORATE DR STE 150 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184660938 | Mohan R Hindupur | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7752 | 2006-06-21 |
| 1013359173 | Sajjad Ahmad | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7763 | 2013-07-17 |
| 1962644310 | Clarence Maurice Findley | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7763 | 2009-04-01 |
| 1225259385 | German G Kamalov | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7763 | 2007-05-02 |
| 1194847244 | Mazda Biria | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7763 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| 1184740342 | Progressive Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2612 Doniphan Ave, Saint Joseph, MO 64507-1457 | 2007-03-21 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689996159 | Abraham Koshy | Internal Medicine | 3050 Bluffwood Pl, Saint Joseph, MI 49085-9347 | 2010-02-24 |
| 1184660938 | Mohan R Hindupur | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7752 | 2006-06-21 |
| 1356332258 | Cardiac Care Consultants Inc | Internal Medicine | 3925 Sherman Ave, Saint Joseph, MO 64506-3649 | 2005-10-31 |
| 1528054996 | Julian Jesus Nunez | Internal Medicine | 5514 Corporate Dr, Suite 150, Saint Joseph, MO 64507-7743 | 2005-09-21 |
| 1457354482 | Brian T Eller | Internal Medicine | 3078 Niles Rd, Saint Joseph, MI 49085-8608 | 2005-05-23 |
| 1013359173 | Sajjad Ahmad | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7763 | 2013-07-17 |
| 1366724437 | Lakeland Medical Practices | Internal Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2011-09-15 |
| 1962644310 | Clarence Maurice Findley | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507-7763 | 2009-04-01 |
| 1134377435 | David K Rhine | Internal Medicine | 3950 Hollywood Rd Ste 110, Saint Joseph, MI 49085-9151 | 2008-08-29 |
| 1508051863 | My Heart Partners PC | Internal Medicine | 3078 Niles Rd, Saint Joseph, MI 49085-8608 | 2007-09-10 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
Please comment or provide details below to improve the information on DR. BRIAN WRIGHT ROE.
| 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.