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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 507427300 | 05 | |
RR MCR | CH2570 | 01 | |
RR MCR | DF3458 | 01 |
Other Name | Type Code |
---|---|
John O. Roller, DPM | Former Legal Business Name - Organization |
Street Address |
1691 S BUSINESS HIGHWAY 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 | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215114426 | Elizabeth Ann Loverso | Podiatrist | 204 Evans Rd, Hollister, NC 27844-9247 | 2008-01-30 |
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 |
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.