ELIZABETH ROEDER MD NPI 1164432696

NPI Information

NPI: 1164432696
Provider Name: ELIZABETH ROEDER, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
333 N. SANTA ROSA ST.
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 704-3391
Get Directions

Elizabeth Roeder, MD is a clinical genetics (m.d.) medical genetics in San Antonio, TX. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Elizabeth Roeder, MD NPI is 1164432696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

333 N. SANTA ROSA ST.
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 704-3391
Fax: (210) 704-4520

The NPI 1164432696 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 10/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		L9458	TEXAS	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	L9458	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	161251701	MEDICAID	TEXAS
2	161251702	OTHER	TEXAS	CIDC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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