ROGER M. KNUDSON (NPI# 1568502151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568502151 |
| Entity Type | Individual |
| Full Name | ROGER M. KNUDSON |
| Credential | PH. D. |
| Practice Address |
115 W Walnut St Oxford OH 45056-1721 |
| Mailing Address |
631 Monroe St Newport KY 41071-2047 |
| Practice Telephone | 5135236698 |
| Mailing Telephone | 8598663962 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2712 | OH | Behavioral Health & Social Service Providers |
| Street Address |
115 W WALNUT ST |
| City | OXFORD |
| State | OH |
| Zip Code | 45056-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619051927 | Merce Caballero | Psychologist | 115 W Walnut St, Oxford, OH 45056-1721 | 2006-10-24 |
| 1891015277 | Bridgepointe Psychological & Counseling Services | Counselor | 115 W Walnut St, Oxford, OH 45056-1721 | 2010-06-08 |
| 1346389418 | David Albert Loy | Psychologist | 115 W Walnut St, Oxford, OH 45056-1721 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949695 | Joseph Barbetta | Specialist/Technologist | Weeb Ewbank Way, Oxford, OH 45056 | 2019-12-12 |
| 1568914596 | Devyn Jo Wilson | Student in an Organized Health Care Education/Training Program | 144 Yager Stadium, Oxford, OH 45056 | 2016-10-25 |
| 1538548185 | Linda Dingledine | Registered Nurse | 5301 University Park Blvd, Oxford, OH 45056 | 2015-05-28 |
| 1003200783 | Mary Elizabeth Ankrom | Specialist/Technologist | 501 E. High St., Oxford, OH 45056 | 2015-03-20 |
| 1902243454 | Alex Dolgov | Dentist | 474 S. Locust Street, Oxford, OH 45056 | 2013-05-23 |
| 1447577929 | Holly Anne Larson | Dietitian, Registered | 5176 Morning Sun Rd, Suite 1, Oxford, OH 45056 | 2010-04-23 |
| 1972718542 | Kip Charles Alishio | Psychologist | 195 Health Services Building, Miami University, Oxford, OH 45056 | 2007-05-14 |
| 1861550154 | Deborah Schindler | Dentist | 117 E Walnut Street, Oxford, OH 45056 | 2006-12-05 |
| 1821197880 | Terri Lynn Jones | Psychologist | 44 Autumn Dr, Oxford, OH 45056 | 2006-09-22 |
| 1386747095 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 123 W Spring St, Oxford, OH 45056 | 2006-09-07 |
| Find all providers in zip 45056 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542592 | Christine King | Psychologist | 4200 Lake Knolls Dr, Oxford, MI 48371-5411 | 2020-09-13 |
| 1134491095 | Shari L. Wade | Psychologist | 5678 Forest Ridge Dr, Oxford, OH 45056-8793 | 2012-02-07 |
| 1033492913 | Danielle Maack | Psychologist | 101 Ricky D Britt Sr Blvd Ste 1b, Oxford, MS 38655-9111 | 2011-09-27 |
| 1912149824 | Carnigee Ala-benee' Truesdale | Psychologist | 1450 South Lapeer Rd, Oxford, MI 48371-6681 | 2009-03-24 |
| 1356591705 | Jeffry Scott Bethay | Psychologist | 34 Private Road 3151, Apartment 7, Oxford, MS 38655-7004 | 2008-09-23 |
| 1972718542 | Kip Charles Alishio | Psychologist | 195 Health Services Building, Miami University, Oxford, OH 45056 | 2007-05-14 |
| 1548483449 | Karen Christoff | Psychologist | 805 Royal Oaks Dr, Oxford, MS 38655-9058 | 2007-04-10 |
| 1407916216 | Scott Allen Gustafson | Psychologist | 551 Hathorn Rd, Oxford, MS 38655-4213 | 2006-12-11 |
| 1578622460 | Penny S. Haws | Psychologist | 1002 Van Buren Ave, Oxford, MS 38655-3910 | 2006-12-06 |
| 1700944204 | Shannon Theobald Devoe | Psychologist | 12 Old Charlton Rd, Oxford, MA 01540-1407 | 2006-12-05 |
| Find all providers in OXFORD | ||||
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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.