SHAUN R ROOF (NPI# 1588745483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588745483 |
| Entity Type | Individual |
| Full Name | SHAUN R ROOF |
| Credential | DO |
| Practice Address |
88 Mcmillen Drive Newark OH 43055 |
| Practice Telephone | 7403484270 |
| Practice Fax Number | 7403484272 |
| Mailing Telephone | 7403484270 |
| Mailing Fax Number | 7403484272 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 34.006678 | OH | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 39474 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
88 MCMILLEN DRIVE |
| City | NEWARK |
| State | OH |
| Zip Code | 43055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| 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 |
|---|---|---|---|---|
| 1760644280 | Chan Woo Park | Otolaryngology | 90 Bergen Street- Suite 8100, Department of Otolaryngology, Doc Building, Newark, NJ 07103 | 2008-06-26 |
| 1467639864 | Jagdeep Singh Hundal | Otolaryngology | 774 Christiana Rd Ste B4, Newark, DE 19713-4219 | 2008-01-28 |
| 1083646442 | Licking Memorial Professional Corporation | Otolaryngology | 88 Mcmillen Dr, Newark, OH 43055-5814 | 2006-07-07 |
| 1932102134 | Joseph I Ramzy | Otolaryngology | 774 Christiana Rd, Suite 107, Newark, DE 19713-4236 | 2005-05-23 |
| 1699225227 | University Physician Associates of New Jersey, Inc | Otolaryngology | 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 | 2016-10-06 |
| 1497137491 | First State Ent Association Inc | Otolaryngology | 774 Christiana Road, Neuroscience Building Ste B4, Newark, DE 19713-4236 | 2015-06-25 |
| 1649618596 | Dylan Francis Roden | Otolaryngology | 90 Bergen St # 8100, Newark, NJ 07103 | 2013-06-12 |
| 1407113921 | Wayne Daniel Hsueh | Otolaryngology | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2012-04-20 |
| 1033405139 | Bradley R Lawson | Otolaryngology | 36 Mcmillen Dr, Newark, OH 43055 | 2011-06-27 |
| 1861783615 | Rachel Kaye | Otolaryngology | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2011-04-27 |
| Find all providers in NEWARK | ||||
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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.