DR. TYSON J ROETHLISBERGER (NPI# 1487632949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487632949 |
| Entity Type | Individual |
| Full Name | DR. TYSON J ROETHLISBERGER |
| Credential | D.D.S. |
| Practice Address |
721 N Macomb St Suite 3 Monroe MI 48162-2982 |
| Practice Telephone | 7342416710 |
| Practice Fax Number | 7342416710 |
| Mailing Telephone | 7342416710 |
| Mailing Fax Number | 7342416710 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901015834 | MI | Dental Providers |
| Street Address |
721 N MACOMB ST SUITE 3 |
| City | MONROE |
| State | MI |
| Zip Code | 48162-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619226388 | Ganesh Ramaswami M.d. P.C. | Specialist | 721 N Macomb St, Ste 6, Monroe, MI 48162-2982 | 2012-09-10 |
| 1821370883 | Michigan Home Hospice Inc | Hospice Care, Community Based | 721 N Macomb St, Monroe, MI 48162-2982 | 2011-09-15 |
| 1497930929 | Andrea R Rinker Dpm PC | Podiatrist | 721 N Macomb St, Suite 5, Monroe, MI 48162-2982 | 2008-01-03 |
| 1508068420 | Progressive Therapeutic Home Health Care, Inc. | Home Health | 721 N Macomb St, Suite 4, Monroe, MI 48162-2982 | 2007-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1487143616 | S. Gibree, D.m.d., P.C. | Dentist | 5120 Old Charlotte Hwy, Monroe, NC 28110-7342 | 2018-05-03 |
| 1689162372 | Amara Dental of Monroe, P.a. | Dentist | 211 Applegarth Road, Suite 109, Monroe, NJ 08831 | 2018-04-27 |
| 1942715917 | Monroe Dental Group LLC | Dentist | 1401 N 18th St Ste E, Monroe, LA 71201-4972 | 2017-12-12 |
| 1659884104 | Orange County Dental, P.C. | Dentist | 1 Prag Blvd Unit 111, Monroe, NY 10950-8448 | 2017-11-07 |
| 1487184677 | Daniel Conrid Sharbono | Dentist | 2406 Duval Dr, Monroe, LA 71201 | 2017-06-19 |
| 1730619917 | Leigh Ann Robinson | Dentist | 1507 Lamy Ln Ste A, Monroe, LA 71201-3778 | 2017-06-19 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1326300625 | Dung V Tran | Dentist | 1307 E Franklin St, Suite C, Monroe, NC 28112-5196 | 2012-06-12 |
| Find all providers in MONROE | ||||
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| 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.