ROGER ALAN KOLLER (NPI# 1720581986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720581986 |
| Entity Type | Individual |
| Full Name | ROGER ALAN KOLLER |
| Practice Address |
513 Portwest Ct Richmond VA 23238-5529 |
| Practice Telephone | 8046145944 |
| Mailing Telephone | 8046145944 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 1782 | VA | Other Service Providers |
| N | 175T00000X | Peer Specialist | $$$$$$$$$ | VA | Other Service Providers |
| Street Address |
513 PORTWEST CT |
| City | RICHMOND |
| State | VA |
| Zip Code | 23238-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1093378028 | Neepaben C Patel | Physical Therapist | 2620 A Gaskins Rd, Henrico, VA 23238 | 2019-04-16 |
| 1598246530 | Mohini T Chandra | Occupational Therapist | 1900 Lakewood Drive, Richmond, VA 23238 | 2018-08-28 |
| 1275035743 | Henry Davis Holland Jr. | Speech-Language Pathologist | 1773 Robins Nest Ct., Henrico, VA 23238 | 2018-03-01 |
| 1811352651 | Taylor Krafcik | Acupuncturist | 10617 Patterson Ave, Henrico, VA 23238 | 2015-12-21 |
| 1245603430 | Ashley Sharice Crawley | Physical Therapist | 1209 Falstaff Court, Henrico, VA 23238 | 2015-11-10 |
| 1174966832 | Milton Alexander Boyd | Internal Medicine | 1531 Monmouth Pl, Richmond, VA 23238 | 2013-04-12 |
| 1760778534 | Terri Esposito | Physical Therapist | 1600 John Rolfe Pkwy., Richmond, VA 23238 | 2011-06-21 |
| 1073841649 | Pulmonary Assessments | Clinic/Center | 149 West Square Ct, Richmond, VA 23238 | 2009-11-19 |
| 1538329156 | Michael B Holbert | Dentist | 2620-b Gaskins Road, Richmond, VA 23238 | 2008-06-17 |
| Find all providers in zip 23238 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787045 | Sayyeda Hall | Peer Specialist | 1806 Summit Ave Ste 300, Richmond, VA 23230-4339 | 2020-10-09 |
| 1396275426 | Sheila Diane Perry | Peer Specialist | 604 Willomett Ave, Richmond, VA 23227-2921 | 2017-06-12 |
| 1164023578 | Christopher Doan | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-11-03 |
| 1629684915 | Adam C Keller | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2020-09-22 |
| 1609417146 | Amanda Lynn Bolotta | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2019-10-07 |
| 1821560632 | Karen L Haubner | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2018-12-19 |
| 1093223067 | Billie Lettice Davis | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2018-01-12 |
| 1720594260 | Sean Forbes | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2017-12-20 |
| 1568903474 | Carol H. Robertson | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2017-03-10 |
| 1306380845 | Jacqueline Nicole Fettes | Peer Specialist | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2016-12-16 |
| Find all providers in RICHMOND | ||||
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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.