DAVID LLOYD ROER MD NPI 1396821518

NPI Information

NPI: 1396821518
Provider Name: DAVID LLOYD ROER, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
5450 FAR HILLS AVE STE 110
KETTERING, OH
ZIP 45429
Phone: (937) 436-2866
Get Directions

David Lloyd Roer, MD is an adolescent medicine pediatrics in Kettering, OH. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. David Lloyd Roer, MD NPI is 1396821518. 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:

5450 FAR HILLS AVE STE 110
KETTERING, OH
ZIP 45429-346
Phone: (937) 436-2866
Fax: (937) 436-1468

The NPI 1396821518 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 10/31/2006 and was last updated on 12/16/2023.

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	2080A0000X	Pediatrics	Adolescent Medicine	35052497	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	0665043	OTHER		BUREAU FOR CHILDREN WITH
2	311627276031	OTHER		CARESOURCE
3	0665043	MEDICAID	OHIO
4	1220172	OTHER		UNITED HEALTHCARE
5	0634100	OTHER		AETNA
6	000000037306	OTHER		BLUE CROSS BLUE SHIELD

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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