KEVIN JON ROELOFS (NPI# 1982601084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982601084 |
| Entity Type | Individual |
| Full Name | KEVIN JON ROELOFS |
| Credential | MD |
| Practice Address |
100 Griffin Rd Unit A Portsmouth NH 03801-7158 |
| Practice Telephone | 6034367897 |
| Practice Fax Number | 6034367855 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2016-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
12404 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30204663 | 05 | |
| NH | ANTHEM NH ID # | 01Y007809NH01 | 01 |
| Street Address |
100 GRIFFIN RD UNIT A |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-7158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358566 | Robert Hickey | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| 1174050025 | Spectrum Medical Group, P.a. | Clinic/Center | 100 Griffin Rd, Portsmouth, NH 03801-7158 | 2017-05-22 |
| 1376815803 | American Health Centers, Inc. | Clinic/Center | 100 Griffin Rd, Portsmouth, NH 03801-7158 | 2012-01-30 |
| 1841479532 | Allergy Associates of Nh Pa | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2007-10-30 |
| 1164646071 | Atlantic Plastic Surgery Associates Pa | Clinic/Center | 100 Griffin Rd, Suite B, Portsmouth, NH 03801-7113 | 2007-04-12 |
| 1841276565 | Sandra Lee Mccormack | Nurse Practitioner | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-12-15 |
| 1780681809 | Joseph Frazer IIi | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| 1033116140 | Barbara Deuell | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358566 | Robert Hickey | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| 1841479532 | Allergy Associates of Nh Pa | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2007-10-30 |
| 1386849784 | Taylor Banks | Allergy & Immunology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2007-06-18 |
| 1780681809 | Joseph Frazer IIi | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| 1033116140 | Barbara Deuell | Allergy & Immunology | 100 Griffin Rd, Suite A, Portsmouth, NH 03801-7113 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402862 | Allergy and Asthma Center | Allergy & Immunology | 161 Rochester Hill Road, Rochester, NH 03867 | 2020-09-16 |
| 1417147349 | Amit Kumar | Allergy & Immunology | 19 Tyler St Ste 305, Nashua, NH 03060-2951 | 2007-07-26 |
| 1902861032 | Nicola M Vogel | Allergy & Immunology | 9 Buzell Ave Ste 3, Exeter, NH 03833-2522 | 2006-04-20 |
| 1679686836 | Marcus Sidney Shaker | Allergy & Immunology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-15 |
| 1497778120 | Jon Michael Brian Vore Sr. | Allergy & Immunology | 21 E Hollis St, Nashua, NH 03060-2928 | 2006-07-25 |
| 1336160423 | Mary Kay Hillinger | Allergy & Immunology | 1 Medical Center Dr, Dhmc Allergy, Lebanon, NH 03756-1000 | 2006-07-22 |
| 1841236130 | Steven Roy Grandgeorge | Allergy & Immunology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-22 |
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on KEVIN JON ROELOFS.
| 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.