DR. JAMES W ROEDER (NPI# 1649273772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649273772 |
| Entity Type | Individual |
| Full Name | DR. JAMES W ROEDER |
| Credential | M.D. |
| Practice Address |
915 13th Ave N Clinton IA 52732-5067 |
| Practice Telephone | 5632432511 |
| Practice Fax Number | 5632430817 |
| Mailing Telephone | 5632432511 |
| Mailing Fax Number | 5632430817 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 30070 | AZ | Other Service Providers |
| Y | 207Y00000X | Otolaryngology | 22390 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 6193573 | 05 | |
| AZ | 702838 | 05 | |
| JOHN DEERE HEALTH | IA01C2 | 01 | |
| IA | WELLMARK BC/BS | 25761 | 01 |
| MIDLANDS CHOICE | 4439 | 01 | |
| HEALTH ALLIANCE | 119430 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740336296 | James A Roeder | Chiropractor | 8723 Belair Rd Ste A, Baltimore, MD 21236-2419 | 2007-01-26 |
| Street Address |
915 13TH AVE N |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-5067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764172 | Katie Flood | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5067 | 2020-09-10 |
| 1467088823 | Kara Christine Lutes | Family Medicine | 915 13th Ave N, Clinton, IA 52732-5067 | 2020-03-18 |
| 1861043010 | Aubrey Matthiesen | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5099 | 2019-09-27 |
| 1285288795 | Shanna Maureen Krogman | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5067 | 2019-08-01 |
| 1275197998 | Mercy Specialty Clinic | Family Medicine | 915 13th Ave N, Clinton, IA 52732-5067 | 2019-04-29 |
| 1881169548 | Norval Edson Hoffman IIi | Pharmacist | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-10-09 |
| 1356827802 | Kristie A Rice-melvin | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5099 | 2018-07-18 |
| 1336642313 | Medical Analgesic Services Inc | Clinic/Center | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-03-15 |
| 1770005001 | Ora Orthopedics PC | Registered Nurse | 915 13th Ave N, Clinton, IA 52732-5067 | 2017-07-07 |
| 1346770708 | Mara Lynn Peth | Physician Assistant | 915 13th Ave N, Clinton, IA 52732-5067 | 2017-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699921411 | George E. Urban, Jr Md Pa | Otolaryngology | 9131 Piscataway Rd, Suite 410, Clinton, MD 20735-2508 | 2008-08-12 |
| 1275689945 | Norman A Lester | Otolaryngology | 10401 Hospital Dr, Suite G-4, Clinton, MD 20735-3110 | 2007-01-26 |
| 1053320978 | Cody's Limited, PC | Otolaryngology | 425 S 2nd St, Clinton, IA 52732-4212 | 2006-08-07 |
| 1497790398 | Medstar Southern Maryland Physicians, LLC | Otolaryngology | 10401 Hospital Drive, Suite G-4, Clinton, MD 20735-3134 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134658552 | Kristen Leigh Seligman | Otolaryngology | 200 Hawkins Dr, Dept of Otolaryngology, Iowa City, IA 52242-1009 | 2017-06-08 |
| 1316389653 | Koch Facial Plastic Surgery PC | Otolaryngology | 4855 Mills Civic Parkway #100, West Des Moines, IA 50265 | 2013-07-29 |
| 1770835563 | Charles Douglas Jons | Otolaryngology | 2916 Forest Hills Dr, Ames, IA 50014-3583 | 2012-10-04 |
| 1457606584 | Lindsay Jo Sturm | Otolaryngology | 2122 Leopold Dr, Ames, IA 50010-4499 | 2012-07-15 |
| 1992099402 | Stephanie Lanae Burger | Otolaryngology | 2730 Pierce St Ste 204, Sioux City, IA 51104-3764 | 2011-06-01 |
| 1245380237 | Michael Crawford | Otolaryngology | 320 Mckenzie Ave Ste 202, Council Bluffs, IA 51503-1002 | 2007-01-11 |
| 1356451421 | Kurtis David Korver | Otolaryngology | 700 Juneau Ave Se, Orange City, IA 51041 | 2006-08-30 |
| 1184682189 | Douglas R Hoisington | Otolaryngology | 2600 Westown Pkwy Ste 360, West Des Moines, IA 50266-7306 | 2006-05-02 |
| 1205893781 | Gordon Ray Johnson | Otolaryngology | 3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432 | 2006-04-27 |
| 1548241037 | Craig Charles Herther | Otolaryngology | 310 N Grandview Ave, Dubuque, IA 52001-6388 | 2005-11-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JAMES W ROEDER.
| 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.