John H Roediger in Portland - Otolaryngology
John H Roediger - NPI 1881682789
John H Roediger is a Otolaryngology in Portland, Maine. John H Roediger practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for John H Roediger is 1881682789. The last update date is 2012-04-03.
John H Roediger's current location address is 1250 Forest Ave, Portland, Maine. You can contact this provider via phone number 2077975753 and fax number 2077979571. The mailing address for John H Roediger is 1250 Forest Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John H Roediger |
|---|---|
| Address | 1250 Forest Ave, Portland, Maine |
| Phone Number | 2077975753 |
| Fax Number | 2077979571 |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1881682789 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2012-04-03 |
Provider Mailing Address Detail
| Address | 1250 Forest Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41031897 |
| Phone Number | 2077975753 |
| Fax Number | 2077979571 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | MD8727 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B86271 | ME | HARVARD PILGRIM | |
| 302230099 | ME | -- | |
| 1044199 | ME | AETNA | |
| 40512 | ME | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to John H Roediger by the Centers for Medicare & Medicaid Services?
The John H Roediger has been assigned the NPI (National Provider Identifier) 1881682789. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John H Roediger's physical address?
The John H Roediger is physically located at 1250 Forest Ave, in the city of Portland, ME, with the postal code 41031897.
What is the John H Roediger's area of specialization and corresponding taxonomy classification?
The John H Roediger's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881682789 to John H Roediger?
The Centers for Medicare & Medicaid Services originally issued the 1881682789 to John H Roediger on 2005-10-13.
As of what date were the John H Roediger's details last updated?
The information pertaining to the John H Roediger, including its address, specialty, and other details, was most recently updated on 2012-04-03.