David Roae (NPI# 1548777808, PAC ID# 1052672763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1548777808 |
| PAC ID by PECOS | 1052672763 |
| Professional Enrollment ID | I20180220002811 |
| Full Name | David Roae |
| Organization Legal Name | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| Address |
5877 Old State Rd Belmont NY 14813-9616 |
| Phone Number | 5855931100 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012828486 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330096 | JONES MEMORIAL HOSPITAL |
| 330103 | OLEAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5877 Old State Rd, Belmont, NY 14813-9616 | 5855931100 | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| Organization Legal Name | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Haring | Obstetrics/gynecology | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| Keith A Gembusia | Family Medicine | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 120 1st St, Bolivar, NY 14715-1132 |
| Shannon M Mooney | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 13 Loder St, Wellsville, NY 14895-1112 |
| April L Wesche | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Jennifer Middaugh | Certified Nurse Midwife (cnm) | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| Andres I Rubert Jr. | Obstetrics/gynecology | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Du Van Nguyen | General Surgery | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Lu Ann Kaye | Family Medicine | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| Cortni Monroe | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 120 1st St, Bolivar, NY 14715-1132 |
| Steven M Collins | Family Medicine | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Street Address |
5877 OLD STATE RD |
| City | BELMONT |
| State | NY |
| Zip | 14813-9616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy E Brinkwart | Nurse Practitioner | County of Allegany | 7 Court St, Belmont, NY 14813-1076 |
| City | BELMONT |
| Zip Code | 14813 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BELMONT + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.