Jonathan D Roe in Janesville - Pediatrics

Jonathan D Roe - NPI 1366507709

Jonathan D Roe is a Pediatrics in Janesville, Wisconsin. Jonathan D Roe practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jonathan D Roe is 1366507709. The last update date is 2015-04-16.

Jonathan D Roe's current location address is 3400 Deerfield Dr, Janesville, Wisconsin. You can contact this provider via phone number 6083143600 and fax number 6083143601. The mailing address for Jonathan D Roe is 3400 Deerfield Dr, Janesville, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan D Roe
Address 3400 Deerfield Dr, Janesville, Wisconsin
Phone Number 6083143600
Fax Number 6083143601
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1366507709
Provider Enumeration Date 2006-12-26
Last Updated Date 2015-04-16

Provider Mailing Address Detail

Address 3400 Deerfield Dr
City Janesville
State Wisconsin (WI)
Post Code 535463557
Phone Number 6083143600
Fax Number 6083143601

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 35916-20
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32061100 WI --
347845572 1 IL --
ROEJON WI MERCYCARE INSURANCE

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FAQs about Jonathan D Roe

What is the unique 10-digit identifier code issued to Jonathan D Roe by the Centers for Medicare & Medicaid Services?

The Jonathan D Roe has been assigned the NPI (National Provider Identifier) 1366507709 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jonathan D Roe is geographically located?

The Jonathan D Roe is physically situated at the following location: 3400 Deerfield Dr, Janesville, WI, 535463557.

What is Jonathan D Roe's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jonathan D Roe is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date did the Jonathan D Roe receive the assignment of its 1366507709 from the Centers for Medicare & Medicaid Services?

The Jonathan D Roe was issued its 1366507709 by the Centers for Medicare & Medicaid Services on 2006-12-26.

As of what date were the details pertaining to Jonathan D Roe last refreshed?

The information related to the Jonathan D Roe, including its address, specialty, and other relevant details, was last updated on 2015-04-16.

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