JENNA ELIZABETH ROLLER (NPI# 1548509052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548509052 |
| Entity Type | Individual |
| Full Name | JENNA ELIZABETH ROLLER |
| Other Name | JENNA E BERNINGER |
| Credential | PA-C |
| Practice Address |
15 Moss Creek Vlg Hilton Head SC 29926-1105 |
| Mailing Address |
7419 Kimbark Ct Apt. E Rosedale MD 21237-3736 |
| Practice Telephone | 8436815077 |
| Practice Fax Number | 8436815012 |
| Mailing Telephone | 6104170273 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2018-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2950 | SC | Allopathic & Osteopathic Physicians |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0004965 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MARYLAND BOARD OF PHYSICIANS | C0004965 | 01 | |
| NCCPA | 11011359 | 01 | |
| SC | SC PA LICENSE | 2950 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 149 Riverwalk Blvd Ste 3/4, Ridgeland, SC 299368190 | 8436815077 | 8436815012 |
| 15 Moss Creek Vlg, Hilton Head, SC 299261105 | 8436815077 | 8438363077 |
| 305 Hospital Dr, Ste. 301, Glen Burnie, MD 210615805 | 4105538170 |
| Street Address |
15 MOSS CREEK VLG |
| City | HILTON HEAD |
| State | SC |
| Zip Code | 29926-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579836 | Kelly Rebecca Latta | Physician Assistant | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 | 2015-10-05 |
| 1437482254 | Todd E Johnson Md Pa | Clinic/Center | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 | 2009-09-11 |
| 1598955726 | Gavin Orthopaedics | Orthopaedic Surgery | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 | 2007-07-25 |
| 1336112416 | J Robert Gavin Jr. | Orthopaedic Surgery | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 1114443728 | Rehabcare Group East, LLC | Clinic/Center | 421 Squire Pope Rd, Hilton Head Island, SC 29926 | 2017-08-15 |
| 1043734429 | Laura Ann Elizabeth Mccall | Nurse Practitioner | Dba Ltc Health Solutions, 110 Gardner Dr, Hilton Head Island, SC 29926 | 2017-07-27 |
| 1508286014 | Johan Schutz | Pharmacist | 20 Hanahan Ln, Hilton Head Island, SC 29926 | 2014-04-23 |
| 1740614460 | Tcg Medical Specialists LLC | Emergency Medicine | 19 Moss Creek Village Ste. B4, St. Joseph's/candler Hyperbarics and Wound Care, Hilton Head Island, SC 29926 | 2013-08-29 |
| 1215288790 | Collin George | Physical Therapist | 250 Ladyslipper Lane, Hilton Head, SC 29926 | 2012-09-25 |
| 1508136698 | Podiatry Associates of Hilton Head Pa | Podiatrist | 88 D Main Street, Hilton Head Island, SC 29926 | 2012-01-05 |
| 1467689646 | Moss Creek Sport & Spine Institute Promp Care, LLC | Clinic/Center | 15 Moss Creek Village, Hilton Head, SC 29926 | 2009-06-16 |
| 1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
| Find all providers in zip 29926 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477796217 | Miranda L Garcia | Physician Assistant | 12 Lafayette Pl, Hilton Head, SC 29926 | 2009-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1588183909 | John Edward Carpenter | Physician Assistant | 50 E Hospital St Ste 6, Manning, SC 29102-3149 | 2017-09-18 |
| 1689116006 | Healing Hands Surgical Assisting | Physician Assistant | 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 | 2016-11-16 |
| 1003207101 | Kimberly Anne Caldwell | Physician Assistant | 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 | 2015-02-10 |
| 1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
| 1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
| 1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
| 1093960957 | Stephen Utenick | Physician Assistant | 105 Beason Farm Ln, Simpsonville, SC 29681-6509 | 2008-11-19 |
| 1689849457 | First Surgical Associates, LLC | Physician Assistant | 1004 Wells St, Bennettsville, SC 29512-2718 | 2008-04-23 |
| 1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
| Find all providers with the same taxonomy | ||||
| City | HILTON HEAD |
| Zip Code | 29926 |
Please comment or provide details below to improve the information on JENNA ELIZABETH ROLLER.
| 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.