DR. EUGENE ROE MD NPI 1780600700

NPI Information

NPI: 1780600700
Provider Name: DR. EUGENE ROE, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
300 LONGWOOD AVE
CH DEPARTMENT OF NEUROLOGY
BOSTON, MA
ZIP 02115
Phone: (617) 331-4715
Get Directions

DR. Eugene Roe, MD is a neurology with special qualifications in child neurology psychiatry neurology in Boston, MA with 42 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Eugene Roe, MD NPI is 1780600700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

300 LONGWOOD AVE
CH DEPARTMENT OF NEUROLOGY
BOSTON, MA
ZIP 02115-724
Phone: (617) 331-4715
Fax: (781) 335-5628

The NPI 1780600700 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 7/14/2006 and was last updated on 10/13/2014.

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	70946	MASSACHUSETTS	No
2	2084N0400X	Psychiatry & Neurology	Neurology	70946	MASSACHUSETTS	No
3	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	70946	MASSACHUSETTS	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
1	J08331	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	3047407	MEDICAID	MASSACHUSETTS
3	E01966	MEDICARE UPIN	MASSACHUSETTS

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: 5/5/2024

NPI Synchronization or Removal

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