MR. ROGER R WALLER (NPI# 1750370011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750370011 |
| Entity Type | Individual |
| Full Name | MR. ROGER R WALLER |
| Credential | MD |
| Practice Address |
206 North Arcade Maquoketa IA 52060-2022 |
| Practice Telephone | 5636526711 |
| Practice Fax Number | 5636526715 |
| Mailing Telephone | 5636526711 |
| Mailing Fax Number | 5636526715 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29372 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2101899 | 05 |
| Street Address |
206 NORTH ARCADE |
| City | MAQUOKETA |
| State | IA |
| Zip Code | 52060-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659360816 | Jerald W Bybee | Family Medicine | 206 North Arcade, Maquoketa, IA 52060-2022 | 2005-10-19 |
| 1053544585 | Ann E Patterson | Family Medicine | 206 North Arcade, Maquoketa, IA 52060-2022 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222709 | Megan Elizabeth Vance | Counselor | 119 S Main St Ste 2, Maquoketa, IA 52060 | 2018-07-27 |
| 1750476669 | Joseph A Lechtenberg Jr. | Dentist | 129 W Pleasant St, Maquoketa, IA 52060 | 2006-10-04 |
| 1629018650 | Abby Lee Gehl | Dentist | 119 South Main Ste 1, Maquoketa, IA 52060 | 2006-06-07 |
| 1528015328 | Smiles On Main | Dentist | 119 South Main, Ste 1, Maquoketa, IA 52060 | 2006-05-27 |
| 1396794178 | Mary Virginia Schwartz | Counselor | 714 W Platt, Maquoketa, IA 52060 | 2006-05-09 |
| 1255392122 | David Scott Sybesma | Optometrist | 1408 43rd Street, Maquoketa, IA 52060 | 2006-03-30 |
| 1730669433 | Eyewear Gallery | Optometrist | 101 N Main St, Maquoketa, IA 52060 | 2018-08-21 |
| 1720579790 | Heinrich Chiropractic Pllc | Chiropractor | 620 S Main St, Maquoketa, IA 52060 | 2018-05-24 |
| 1598817173 | Clyde Daniel Overturff | Dentist | 204 N Arcade St, Maquoketa, IA 52060 | 2007-01-17 |
| 1275573206 | Salvador D Atienza | Dentist | 119 South Main, Ste 1, Maquoketa, IA 52060 | 2006-06-07 |
| Find all providers in zip 52060 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184139479 | Amanda Robinson | Family Medicine | 405 E Pleasant St, Maquoketa, IA 52060-3112 | 2017-12-07 |
| 1629415922 | Alyssa Lakin | Family Medicine | 206 N Arcade, Maquoketa, IA 52060-2022 | 2013-05-28 |
| 1477539617 | Jill M Hunt | Family Medicine | 918 W Platt St # 1, Maquoketa, IA 52060-2038 | 2005-12-20 |
| 1659360816 | Jerald W Bybee | Family Medicine | 206 North Arcade, Maquoketa, IA 52060-2022 | 2005-10-19 |
| 1407845175 | Maquoketa Family Clinic | Family Medicine | 206 N Arcade St, Maquoketa, IA 52060-2022 | 2005-10-17 |
| 1639519531 | Brandon Beau Rickertsen | Family Medicine | 918 W Platt St # 1, Maquoketa, IA 52060-2038 | 2013-06-25 |
| 1053544585 | Ann E Patterson | Family Medicine | 206 North Arcade, Maquoketa, IA 52060-2022 | 2009-09-01 |
| 1639377021 | Katherine L Hurst | Family Medicine | 700 W Grove St, Maquoketa, IA 52060-2163 | 2007-07-06 |
| 1942252895 | Kimberly A Thompson | Family Medicine | 918 W Platt St # 1, Maquoketa, IA 52060-2038 | 2006-05-17 |
| 1982674750 | Raymond Mckenzie Hamilton | Family Medicine | 918 W Platt St # 1, Maquoketa, IA 52060-2038 | 2006-01-25 |
| Find all providers in MAQUOKETA | ||||
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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.