MS. ELIZABETH ANN ROSEBERRY M.D. NPI 1609879196

NPI Information

NPI: 1609879196
Provider Name: MS. ELIZABETH ANN ROSEBERRY, M.D.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
1446 EAGLE PASS DR
MARION, OH
ZIP 43302
Phone: (740) 382-3511
Get Directions

MS. Elizabeth Ann Roseberry, M.D. is a neonatal-perinatal medicine pediatrics in Marion, OH. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. MS. Elizabeth Ann Roseberry, M.D. NPI is 1609879196. 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:

1446 EAGLE PASS DR
MARION, OH
ZIP 43302-138
Phone: (740) 382-3511
Fax: (740) 382-0682

The enumeration date for this NPI number is 5/27/2005 and was last updated on 5/10/2009.

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	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	H0774	TEXAS	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	0101045048	VIRGINIA	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	17120	WEST VIRGINIA	No
4	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	M9182	IDAHO	No
5	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	43579	COLORADO	No
6	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	10702	NORTH DAKOTA	No
7	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	35079875	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	0101045048	OTHER	VIRGINIA	MEDICAL LICENSE
2	17120	OTHER	WEST VIRGINIA	MEDICAL LICENSE
3	43579	OTHER	COLORADO	MEDICAL LICENSE
4	35079875	OTHER	OHIO	MEDICAL LICENSE
5	10702	OTHER	NORTH DAKOTA	STATE LICENSE
6	M9182	OTHER	IDAHO	MEDICAL LICENSE
7	H0774	OTHER	TEXAS	MEDICAL LICENSE
8	E36571	MEDICARE UPIN

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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