DR. STEPHEN WILLIAM RODERER (NPI# 1225455249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225455249 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN WILLIAM RODERER |
| Credential | M.D. |
| Practice Address |
5775 N Meadows Dr Ste D Grove City OH 43123-7300 |
| Practice Telephone | 6142244200 |
| Practice Fax Number | 6142244207 |
| Mailing Telephone | 6142244200 |
| Mailing Fax Number | 6142244207 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35.127897 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE NUMBER | 35.127897 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 85 Mcnaughten Rd Ste 310, Columbus, OH 432135111 | 6142244200 |
| Street Address |
5775 N MEADOWS DR STE D |
| City | GROVE CITY |
| State | OH |
| Zip Code | 43123-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922016179 | Rajagopalan Venkataraman | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-08-04 |
| 1033687389 | Elizabeth Narouz | Physician Assistant | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2018-11-05 |
| 1932693264 | Sefenesh Mamai | Registered Nurse | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2018-06-20 |
| 1245597038 | Vahagn Zakaryan | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2012-04-18 |
| 1285856583 | Ravish Shah | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2007-05-03 |
| 1285755116 | Nicholas Anthony Stoycheff | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2007-04-02 |
| 1396835757 | Columbus Nephrology, Inc. | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-10-13 |
| 1609884873 | Chakravarthi Raghavan Ramaswamy | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-08-04 |
| 1194733279 | Paul Anton Kovach | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-08-04 |
| 1174531354 | Kevin Patrick O'reilly | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165225 | Leetonya Henley | Registered Nurse | 4499 Rishel Street, Grove City, OH 43123 | 2020-05-14 |
| 1235792268 | Yunbo Tian | Student in an Organized Health Care Education/Training Program | Transitional Year, 5300 North Meadows Dr., Grove City, OH 43123 | 2019-04-16 |
| 1316402845 | Kristina Wojcik | Counselor | 5665 Hoover Road, Grove City, OH 43123 | 2019-02-08 |
| 1487134581 | Orthopedic One, Inc. | Orthopaedic Surgery | 5500 N. Meadows Drive, Grove City, OH 43123 | 2018-08-17 |
| 1699253658 | Ohiohealth Corporation | Pharmacy | 1375 Stringtown Road, Grove City, OH 43123 | 2018-08-01 |
| 1881102911 | Buckeye Anti-aging and Aesthetics | General Practice | 3699 Garden Ct, Grove City, OH 43123 | 2018-01-10 |
| 1093221764 | Alonda Shantel Long | Case Manager/Care Coordinator | 5665 Hoover Rd., Grove City, OH 43123 | 2017-12-18 |
| 1417466673 | Robert William Frazier Jr. | Social Worker | 3770 Santa Maria Dr., Grove City, OH 43123 | 2017-09-20 |
| 1053830885 | Grove City Surgery Center LLC | Clinic/Center | 1325 Stringtown Rd, Suite 100, Grove City, OH 43123 | 2017-09-13 |
| 1295253292 | Lori Little | Adult Companion | 5233 Thornhill Ct, Grove City, OH 43123 | 2017-08-30 |
| Find all providers in zip 43123 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922016179 | Rajagopalan Venkataraman | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-08-04 |
| 1245597038 | Vahagn Zakaryan | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2012-04-18 |
| 1285856583 | Ravish Shah | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2007-05-03 |
| 1285755116 | Nicholas Anthony Stoycheff | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2007-04-02 |
| 1619045283 | Wallace C Gauntner Md PC | Internal Medicine | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2006-12-01 |
| 1396835757 | Columbus Nephrology, Inc. | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-10-13 |
| 1609884873 | Chakravarthi Raghavan Ramaswamy | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-08-04 |
| 1194733279 | Paul Anton Kovach | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-08-04 |
| 1174531354 | Kevin Patrick O'reilly | Internal Medicine | 5775 N Meadows Dr Ste D, Grove City, OH 43123-7300 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958500 | Cleveland Kidney Care, LLC | Internal Medicine | 5 Eleven Riv, Rocky River, OH 44116-1777 | 2020-07-02 |
| 1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
| 1699233221 | Ideal Vascular Centers LLC | Internal Medicine | 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 | 2019-03-02 |
| 1932677515 | Elizabeth Kidder Grames | Internal Medicine | 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 | 2018-11-13 |
| 1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
| 1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1144615220 | Mansur Pathan | Internal Medicine | 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 | 2015-04-05 |
| 1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
| 1457793150 | Vinay Mulkanoor | Internal Medicine | 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 | 2013-07-23 |
| Find all providers with the same taxonomy | ||||
| City | GROVE CITY |
| Zip Code | 43123 |
Please comment or provide details below to improve the information on DR. STEPHEN WILLIAM RODERER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.