MRS. DIANA TONG ROETTING PA-C NPI 1891036059

NPI Information

NPI: 1891036059
Provider Name: MRS. DIANA TONG ROETTING, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
130 PROVIDENCE RD STE 100
CHARLOTTE, NC
ZIP 28207
Phone: (704) 333-9113
Get Directions

MRS. Diana Tong Roetting, PA-C is a medical physician assistant in Charlotte, NC. MRS. Diana Tong Roetting, PA-C NPI is 1891036059. 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:

130 PROVIDENCE RD STE 100
CHARLOTTE, NC
ZIP 28207-242
Phone: (704) 333-9113
Fax: (704) 333-9757

The NPI 1891036059 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/12/2013 and was last updated on 11/20/2014.

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	363AM0700X	Physician Assistant	Medical	0010-04133	NORTH CAROLINA	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	P01191996	MEDICARE PIN	NORTH CAROLINA

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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