David Burton Roat in Philadelphia - Psychiatry
David Burton Roat - NPI 1629137278
David Burton Roat is a Psychiatry in Philadelphia, Pennsylvania. David Burton Roat practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for David Burton Roat is 1629137278. The last update date is 2017-12-19.
David Burton Roat's current location address is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158314600 and fax number 2158314700. The mailing address for David Burton Roat is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Burton Roat |
|---|---|
| Address | 4641 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2158314600 |
| Fax Number | 2158314700 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1629137278 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2017-12-19 |
Provider Mailing Address Detail
| Address | 4641 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191242398 |
| Phone Number | 2158314600 |
| Fax Number | 2158314700 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | OS008990L |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17602440001 | PA | -- | |
| D08036000 | NH | CONTROLLED DRUG SUBSTANCE |
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What is the unique 10-digit identification code assigned to David Burton Roat by the Centers for Medicare & Medicaid Services?
The David Burton Roat has been issued the NPI (National Provider Identifier) 1629137278, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the David Burton Roat located?
The David Burton Roat is located at 4641 Roosevelt Blvd, Philadelphia, PA 191242398.
What is David Burton Roat's area of expertise and its corresponding taxonomy classification?
The David Burton Roat's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1629137278 assigned to David Burton Roat?
The David Burton Roat was issued its 1629137278 on 2006-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to David Burton Roat most recently updated or refreshed?
The details pertaining to the David Burton Roat, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-12-19.