Roger T Kallhovd (NPI# 1134220510, PAC ID# 1355520156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1134220510 |
| PAC ID by PECOS | 1355520156 |
| Professional Enrollment ID | I20110126000313 |
| Full Name | Roger T Kallhovd |
| Address |
114 Soundview Ter Northport NY 11768-1230 |
| Phone Number | 6317547013 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1967 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 114 Soundview Ter, Northport, NY 11768-1230 | 6317547013 |
| Street Address |
114 SOUNDVIEW TER |
| City | NORTHPORT |
| State | NY |
| Zip | 11768-1230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly W Gotta | Clinical Social Worker | 25 Hayes Hill Dr, Northport, NY 11768-1331 | |
| Richard Gotta | Psychologist, Clinical | 25 Hayes Hill Dr, Northport, NY 11768-1331 | |
| Andrew J Rochman | General Surgery | 5 Pebble Hill Dr, Northport, NY 11768-1353 | |
| Christopher Conrad | Physical Therapy | Team Rehab Physical Therapy PC | 10 Fort Salonga Rd, Suite 2a, Fort Salonga, NY 11768-1400 |
| Jennifer L Olsen | Physical Therapy | Team Rehab Physical Therapy PC | 10 Fort Salonga Rd, Suite 2a, Fort Salonga, NY 11768-1400 |
| Eric S Postal | Diagnostic Radiology | Geisinger Clinic | 30 Allenby Dr, Northport, NY 11768-1421 |
| Bilal A Khan | Physical Medicine and Rehabilitation | 12 Beach Hill Dr, Northport, NY 11768-1424 | |
| Laura L Marr | Clinical Social Worker | 103 Fort Salonga Rd, Suite 16, Northport, NY 11768-1454 | |
| Sharon Goldblum | Clinical Social Worker | 103 Fort Salonga Rd, Northport, NY 11768-1454 | |
| Mildred L Willen | Clinical Social Worker | 67 Bayview Ave, Northport, NY 11768-1501 | |
| Find all physicians in zip 11768 | |||
| City | NORTHPORT |
| Zip Code | 11768 |
| Specialty | PSYCHIATRY |
| City + Specialty | NORTHPORT + PSYCHIATRY |
Please comment or provide details below to improve the information on Roger T Kallhovd.
| 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.