MR. KEVIN ROTH ROEUM (NPI# 1306249180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306249180 |
| Entity Type | Individual |
| Full Name | MR. KEVIN ROTH ROEUM |
| Credential | PA-C |
| Practice Address |
13254 Copland Ct Silver Spring MD 20904-7105 |
| Practice Telephone | 3019102107 |
| Mailing Telephone | 3019102107 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C05534 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13254 COPLAND CT |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-7105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1427428960 | Chanise Isaac | Physician Assistant | 13832 Outlet Dr, Silver Spring, MD 20904-4970 | 2015-09-27 |
| 1831445402 | Leroy Grant | Physician Assistant | 12215 Dalewood Dr, Silver Spring, MD 20902-1119 | 2012-07-31 |
| 1235407370 | Grace A Kawesa | Physician Assistant | 12903 Allerton Ln, Silver Spring, MD 20904-3106 | 2011-12-04 |
| 1851340186 | Karl Radley Katterjohn | Physician Assistant | 9039 Sligo Creek Pkwy, Apt 1401, Silver Spring, MD 20901-3301 | 2006-05-05 |
| 1073167946 | Emily T Jervis | Physician Assistant | 9801 Georgia Ave Ste 224, Silver Spring, MD 20902-5276 | 2019-07-30 |
| 1225693864 | Ava Shahdadian | Physician Assistant | 2415 Musgrove Rd, Silver Spring, MD 20904-5202 | 2019-05-09 |
| 1568915015 | Jaynah Mistry | Physician Assistant | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2016-08-02 |
| 1972958239 | Juliana Bursic Mancini | Physician Assistant | 2415 Musgrove Rd Ste 105, Silver Spring, MD 20904-5224 | 2016-04-25 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on MR. KEVIN ROTH ROEUM.
| 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.