John O Roller (NPI# 1285636753, PAC ID# 3375595945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1285636753 |
PAC ID by PECOS | 3375595945 |
Professional Enrollment ID | I20050215000057 |
Full Name | John O Roller |
Address |
1691 S Business Hwy 65 Hollister MO 65672-6342 |
Gender | M |
Credential | DPM |
Medical School | COLLEGE PODIATRIC MEDICINE AND SURGERY UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
Graduation Year | 1994 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260094 | COX MEDICAL CENTER BRANSON |
Address | Phone | Organization |
---|---|---|
1691 S Business Hwy 65, Hollister, MO 65672-6342 |
Street Address |
1691 S BUSINESS HWY 65 |
City | HOLLISTER |
State | MO |
Zip | 65672-6342 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marian W Stewart | Plastic and Reconstructive Surgery | 516 Iowa Colony Rd, Hollister, MO 65672-5270 | |
Susan L Zickler | Nurse Practitioner | Advocates for A Healthy Community, Inc | 33 Gage Dr, Hollister, MO 65672-5862 |
Chase L Sessions | Family Medicine | Mercy Clinic Springfield Communities | 290 Clift Ct, Hollister, MO 65672-5947 |
Patricia L Duggan | Physician Assistant | Mike Swann, Md, LLC | 590 Birch Rd, 2c, Hollister, MO 65672-9607 |
City | HOLLISTER |
Zip Code | 65672 |
Specialty | PODIATRY |
City + Specialty | HOLLISTER + PODIATRY |
Please comment or provide details below to improve the information on John O Roller.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.