DR. JOSEPH RAYMOND ROEBUCK PHD MD NPI 1932139409

NPI Information

NPI: 1932139409
Provider Name: DR. JOSEPH RAYMOND ROEBUCK, PHD MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3200 TRIDENT TERRACE
NEW PORT RICHEY, FL
ZIP 34652
Phone: (941) 955-0200
Get Directions

DR. Joseph Raymond Roebuck, PHD MD is a diagnostic radiology radiology in New Port Richey, FL with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Joseph Raymond Roebuck, PHD MD NPI is 1932139409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

3200 TRIDENT TERRACE
NEW PORT RICHEY, FL
ZIP 34652
Phone: (941) 955-0200
Fax: (888) 959-4782

The NPI 1932139409 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 7/3/2006 and was last updated on 11/23/2016.

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	2085R0202X	Radiology	Diagnostic Radiology	223797	MASSACHUSETTS	No
2	2085R0202X	Radiology	Diagnostic Radiology	ME 109356	FLORIDA	No
3	2085R0202X	Radiology	Diagnostic Radiology	A99222	CALIFORNIA	No
4	2085R0202X	Radiology	Diagnostic Radiology	42247	TEXAS	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	J28799	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
2	A38424	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	018949700	MEDICAID	FLORIDA
4	2102650	MEDICAID	MASSACHUSETTS
5	I30588	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: 5/5/2024

NPI Synchronization or Removal

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