DR. ELLIS LAWRENCE ROLETT M.D. NPI 1922054584

NPI Information

NPI: 1922054584
Provider Name: DR. ELLIS LAWRENCE ROLETT, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1 MEDICAL CENTER DR
DARTMOUTH-HITCHCOCK CLINIC
LEBANON, NH
ZIP 03756
Phone: (603) 650-5700
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DR. Ellis Lawrence Rolett, M.D. is a cardiovascular disease internal medicine in Lebanon, NH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Ellis Lawrence Rolett, M.D. NPI is 1922054584. 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:

1 MEDICAL CENTER DR
DARTMOUTH-HITCHCOCK CLINIC
LEBANON, NH
ZIP 03756-000
Phone: (603) 650-5700
Fax: (603) 650-6164

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/8/2007.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	5751	NEW HAMPSHIRE	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	0004229	MEDICAID	VERMONT
2	NH4229	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE
3	81114229	MEDICAID	NEW HAMPSHIRE
4	E43343	MEDICARE UPIN	NEW HAMPSHIRE

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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