MR. KEVIN ROTH ROEUM


Address: 13254 Copland Ct, Silver Spring, MD 20904-7105
Phone: 3019102107

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C05534 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13254 COPLAND CT
City SILVER SPRING
State MD
Zip Code 20904-7105

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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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SILVER SPRING
Zip Code 20904

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Dataset Information

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.

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