MR. ROGER MARK LIST APRN-CNP NPI 1215223995

NPI Information

NPI: 1215223995
Provider Name: MR. ROGER MARK LIST, APRN-CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: OSU SURGERY, LLC

PECOS Registration: Yes

Address:
460 W 10TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-5502
Get Directions

MR. Roger Mark List, APRN-CNP is an adult health nurse practitioner in Columbus, OH with 14 years of experience. MR. Roger Mark List, APRN-CNP NPI is 1215223995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

460 W 10TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-5502
Fax: (614) 293-4726

The NPI 1215223995 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 6/22/2011 and was last updated on 1/28/2019.

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	363LA2200X	Nurse Practitioner	Adult Health	APRN.CNP.12375	OHIO	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	0118446	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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