DR. JEREMY WADE ROSCOE M.D. NPI 1386620961

NPI Information

NPI: 1386620961
Provider Name: DR. JEREMY WADE ROSCOE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
401 CAMBY CT
GREENWOOD, IN
ZIP 46142
Phone: (317) 881-8737
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DR. Jeremy Wade Roscoe, M.D. is a pediatrics in Greenwood, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jeremy Wade Roscoe, M.D. NPI is 1386620961. 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:

401 CAMBY CT
GREENWOOD, IN
ZIP 46142-085
Phone: (317) 881-8737
Fax: (317) 881-8735

The enumeration date for this NPI number is 12/15/2005 and was last updated on 5/9/2011.

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		1057187	INDIANA	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	371487209	OTHER	INDIANA	TAX ID
2	200479420A	MEDICAID	INDIANA

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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