DONALD KISTLER ROEDER


Address: 16 Meadowood Pl, Boiling Springs, PA 17007-9449
Phone: 7172439023

DONALD KISTLER ROEDER (NPI# 1952746901) 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) 1952746901
Entity Type Individual
Full Name DONALD KISTLER ROEDER
Credential MD
Practice Address 16 Meadowood Pl
Boiling Springs
PA 17007-9449
Practice Telephone 7172439023
Mailing Telephone 7172439023
Enumeration Date 2013-05-03
Last Update Date 2013-05-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice MD028258L PA Allopathic & Osteopathic Physicians

Office Location

Street Address 16 MEADOWOOD PL
City BOILING SPRINGS
State PA
Zip Code 17007-9449

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1053335182 Mary V Franco Nurse Practitioner 1358 Lutztown Rd, Boiling Springs, PA 17007-9302 2006-07-26
1508891375 Donald J Kovacs Family Medicine 1358 Lutztown Rd, Boiling Springs, PA 17007-9302 2006-07-11
1417982281 Bradford J Wood Family Medicine 1358 Lutztown Rd, Boiling Springs, PA 17007-9302 2006-07-11
1255783957 Matthew Ryan Clugh Counselor 20 Sheeley Ln, Boiling Springs, PA 17007-9436 2016-07-06
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City BOILING SPRINGS
Zip Code 17007

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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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