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RICARDO A ROA MD NPI 1700821907


NPI Information

NPI: 1700821907
Provider Name: RICARDO A ROA, MD
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual
Address:
96 TOWNSHIP ROAD 369 STE 101
PROCTORVILLE, OH
ZIP 45669
Phone: (740) 886-9370
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Ricardo A Roa, MD is an otolaryngology in Proctorville, OH. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Ricardo A Roa, MD NPI is 1700821907. 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:

96 TOWNSHIP ROAD 369 STE 101
PROCTORVILLE, OH
ZIP 45669-133
Phone: (740) 886-9370
Fax: (740) 886-9374

The enumeration date for this NPI number is 6/19/2006 and was last updated on 2/9/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology17624WEST VIRGINIANo
2207Y00000XOtolaryngology35-07-8877-ROHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11044883OTHERWEST VIRGINIABWC
2000000222804OTHEROHIOOH MEDICAID UNISON
3310917085172OTHEROHIOOH MEDICAID CARESOURCE
4RO0753728MEDICARE PINWEST VIRGINIA
5RO0753727MEDICARE PINOHIO
61700821907OTHEROHIOMOUTAIN STATE BC/BS
70954356MEDICAIDOHIO
8P00420122OTHERRAILROAD MEDICARE
90100708000MEDICAIDWEST VIRGINIA

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

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