ROLLER ENTERPRISES LLC


Address: 1691 S Business Highway 65, Hollister, MO 65672-6342
Phone: 4173363210

ROLLER ENTERPRISES LLC (NPI# 1710998851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710998851
Entity Type Organization
Organization Name ROLLER ENTERPRISES LLC
Other Organization Name JOHN O. ROLLER, DPM
Practice Address 1691 S Business Highway 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 2006-08-11
Last Update Date 2012-04-17
Authorized Official Name JOHN ORVILLE ROLLER (OWNER)
Authorized Official Telephone 4173363210
Authorized Official Credential D.P.M.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
000740 MO Podiatric Medicine & Surgery Service Providers
N 213ER0200X Podiatrist
Specialization: Radiology
000740 MO Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
000740 MO Podiatric Medicine & Surgery Service Providers
Y 213E00000X Podiatrist 000740 MO Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 507427300 05
RR MCR CH2570 01
RR MCR DF3458 01

Other Provider/Organization Names

Other Name Type Code
John O. Roller, DPM Former Legal Business Name - Organization

Office Location

Street Address 1691 S BUSINESS HIGHWAY 65
City HOLLISTER
State MO
Zip Code 65672-6342

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215114426 Elizabeth Ann Loverso Podiatrist 204 Evans Rd, Hollister, NC 27844-9247 2008-01-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902421696 Kiera Margaret Benge-shea Podiatrist 12255 Depaul Drive, Ste 705, Bridgeton, MO 63055 2020-06-09
1972069359 Dr Jeffrey Brooks PC Podiatrist 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 2019-02-11
1619448453 S Thomas Sehy D P M L L C Podiatrist 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 2018-12-05
1902339104 Jay J Moradia Podiatrist 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 2017-04-05
1992185763 Melanie Gonzalez Podiatrist 2406 E R.d. Mize Rd Ste. B, Independence, MO 64057-6405 2015-06-05
1255727525 Mobile Podiatry of Kansas, LLC Podiatrist 1920 Salter Pl, Kirksville, MO 63501-5165 2015-04-13
1346645496 Ronald Ethan Freilich Podiatrist 25107 Cherokee Ln, Jonesburg, MO 63351-2454 2014-10-31
1972922060 Special Care Podiatry of Missouri, LLC Podiatrist 3714 Kidron St, Jackson, MO 63755-3345 2014-04-16
1003152273 Foot Healers Holdings - St. Louis, LLC Podiatrist 8534 Eager Rd, Saint Louis, MO 63144-1435 2012-12-17
1073870234 Richard Don Bushman Podiatrist 603 Claymont Estates Dr, Chesterfield, MO 63017-7061 2012-04-12
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Competitor

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City HOLLISTER
Zip Code 65672

Improve Information

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Dataset Information

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.

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