JOSEPH F ROE (NPI# 1750550687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750550687 |
| Entity Type | Individual |
| Full Name | JOSEPH F ROE |
| Credential | PSY D |
| Practice Address |
136 W Broadway Ave Medford WI 54451-1757 |
| Mailing Address |
Po Box 297 Medford WI 54451-0297 |
| Practice Telephone | 7157484535 |
| Practice Fax Number | 7157480627 |
| Mailing Telephone | 7157484535 |
| Mailing Fax Number | 7157480627 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1375-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39231800 | 05 |
| Street Address |
136 W BROADWAY AVE |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487014296 | Christina Fuchs | Nurse Practitioner | 136 W Broadway Ave, Medford, WI 54451-1757 | 2016-03-07 |
| 1184002560 | Mariah Smugala | Counselor | 136 W Broadway Ave, Medford, WI 54451-1757 | 2015-05-18 |
| 1235562737 | Janis Marie Southworth | Counselor | 136 W Broadway Ave, Medford, WI 54451-1757 | 2013-08-20 |
| 1891032058 | Shane Arthur Zertler | Counselor | 136 W Broadway Ave, Medford, WI 54451-1757 | 2013-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| Find all providers in zip 54451 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639958 | Steven C Schoger Psy D LLC | Psychologist | 10 Crater Lake Ave Ste 21, Medford, OR 97504-7445 | 2019-09-29 |
| 1578925947 | Linda Shane Escoll | Psychologist | 120 Curtis St, Counseling and Mental Health Service, Tufts University, Medford, MA 02155 | 2016-03-24 |
| 1033576723 | Nicole Paolillo | Psychologist | 2 Persimmon Ct, Medford, NJ 08055-3605 | 2016-01-26 |
| 1275929630 | Lizabeth M. Eckerd | Psychologist | 4497 Brown Ridge Ter Ste 106, Medford, OR 97504-9173 | 2015-04-13 |
| 1407265176 | Vicki Lumley, Ph.d., LLC | Psychologist | 724 South Central Ave., Suite 101, Medford, OR 97501-7851 | 2014-08-07 |
| 1144463845 | Boyd David Sherbourne | Psychologist | 670 Superior Ct Ste 110, Medford, OR 97504-6179 | 2009-04-09 |
| 1912143306 | Jacob John Mahon | Psychologist | 1744 E Mcandrews Rd Ste B, Medford, OR 97504-5576 | 2009-01-06 |
| 1396942025 | Alan Ledford | Psychologist | 409 Ardmore Ave, Medford, OR 97504-8004 | 2007-06-27 |
| 1225247653 | Wade W Johnston | Psychologist | 603 Eugenia Drive, Medford, NJ 08055-2311 | 2007-05-22 |
| 1336364066 | Karen Hagerman Muller | Psychologist | 4497 Brown Ridge Ter Ste 104, Medford, OR 97504-9173 | 2007-04-16 |
| Find all providers in MEDFORD | ||||
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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.