ROGER G AMIGO (NPI# 1982603668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982603668 |
| Entity Type | Individual |
| Full Name | ROGER G AMIGO |
| Credential | D.O. |
| Practice Address |
2160 Ewing Crawfis Cir Bellefontaine OH 43311-9042 |
| Practice Telephone | 9375930070 |
| Practice Fax Number | 9375990075 |
| Mailing Telephone | 9375930070 |
| Mailing Fax Number | 9375990075 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 5016 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHAN BCBS | 000000007681 | 01 |
| OH | AETNA | 5198086 | 01 |
| OH | 0836760 | 05 | |
| OH | CARESOURCE | 310884319033 | 01 |
| OH | CIGNA | 3980672 | 01 |
| OH | RAILROAD MEDICARE PALMETT | 340010844 | 01 |
| Street Address |
2160 EWING CRAWFIS CIR |
| City | BELLEFONTAINE |
| State | OH |
| Zip Code | 43311-9042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629213327 | Michael Thomas Cray | Surgery | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2008-12-09 |
| 1760544241 | Larry L Morris | Surgery | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2006-12-14 |
| 1740366392 | Anthony John Beisler Iv | Surgery | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2006-10-27 |
| 1861455461 | Harpreet Singh Brar | Surgery | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2006-04-07 |
| 1336133628 | Xiaomei Gao-hickman | Psychiatry & Neurology | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2005-09-01 |
| 1689674772 | Robert I Lewis | Urology | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689674772 | Robert I Lewis | Urology | 2160 Ewing Crawfis Cir, Bellefontaine, OH 43311-9042 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237909 | Tri State Urologic Services Psc Inc | Urology | 2123 Auburn Ave Ste 434, Cincinnati, OH 45219-2906 | 2019-04-04 |
| 1073075578 | Tri State Urologic Services Psc Inc | Urology | 7529 State Rd Ste B, Cincinnati, OH 45255-6410 | 2019-04-03 |
| 1023597143 | Rajiva Ranjan Singh | Urology | 3737 Southern Blvd., Suite 4200, Kettering, OH 45429-1262 | 2018-08-09 |
| 1194232876 | Nathan Ying-ho Hoy | Urology | 9500 Euclid Ave, Q10, Cleveland, OH 44195 | 2018-01-04 |
| 1982113197 | Alliance and Salem Urology LLC | Urology | 885 S Sawburg Ave Ste 105, Alliance, OH 44601-5905 | 2017-09-20 |
| 1447788468 | Robin Ann Houk | Urology | 95 Arch St Ste 165, Akron, OH 44304-1488 | 2017-06-03 |
| 1598216152 | Kings Daughters Medical Specialties Inc. | Urology | 1729 Kinneys Ln Ste 103, Portsmouth, OH 45662-3166 | 2016-10-19 |
| 1093162463 | Wmc Physician Practices LLC | Urology | 4100 Johnson Rd Ste 200, Steubenville, OH 43952-2372 | 2016-05-16 |
| 1154783223 | Wmc Physician Practices LLC | Urology | 251 E Market Street, Cadiz, OH 43907 | 2016-03-28 |
| 1144607508 | Johnathan Doolittle | Urology | 2050 E 96th St Q Building, Cleveland, OH 44195-3548 | 2015-05-05 |
| Find all providers with the same taxonomy | ||||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
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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.