Randolph W. Roller in Springfield - Gynecology
Randolph W. Roller - NPI 1386744068
Randolph W. Roller is a Gynecology in Springfield, Illinois. Randolph W. Roller practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Randolph W. Roller is 1386744068. The last update date is 2008-08-19.
Randolph W. Roller's current location address is 1025 S 6th St, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Randolph W. Roller is 1025 S 6th St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph W. Roller |
|---|---|
| Address | 1025 S 6th St, Springfield, Illinois |
| Phone Number | 2175287541 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386744068 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 1025 S 6th St |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627032403 |
| Phone Number | 2175287541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 036-054648 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 360546648 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Randolph W. Roller by the Centers for Medicare & Medicaid Services?
The Randolph W. Roller has been issued the NPI (National Provider Identifier) 1386744068 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Randolph W. Roller located?
The Randolph W. Roller is located at 1025 S 6Th St, Springfield, IL 627032403.
What is Randolph W. Roller's area of expertise and its corresponding taxonomy classification?
The Randolph W. Roller's field of specialization is Gynecology, and it falls under the taxonomy code 207Vg0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Randolph W. Roller receive its 1386744068 assignment from the Centers for Medicare & Medicaid Services?
The Randolph W. Roller was assigned its 1386744068 on 2006-09-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Randolph W. Roller's details last updated?
The information pertaining to the Randolph W. Roller, including its address, specialty, and other details, was most recently updated on 2008-08-19.
NPI Number: 1225033541
Address: 261 Old York Rd, Jenkintown, PA