Eileen E Davis Roesler, MS CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

002773 Issued in NY

Practice address

14 Booth Dr
Plattsburgh, NY 12901-6404

Phone

(518) 324-5707

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cva Charnwood, LLC

  • Audiologist
  • Plattsburgh, NY
  • NPI 1225630429
  NPD
• Illinois Wisconsin Sertoma Regional Center for Communicative Disorders

  • Audiologist
  • Palos Hills, IL
  • NPI 1912072729
  NPD (past)
• Lester and Rosalie Anixter Center

  • Audiologist
  • Chicago, IL
  • NPI 1528271582
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013177559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BOOTH DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016404",
            "telephone_number": "518-324-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BOOTH DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016404",
            "telephone_number": "518-324-5707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10409 South Roberts Road",
            "address_purpose": "LOCATION",
            "city": "Palos Hills",
            "state": "IL",
            "postal_code": "60465",
            "country_code": "US",
            "telephone_number": "708-599-9500",
            "fax_number": "708-588-2791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS ROESLER",
        "first_name": "EILEEN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MS CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "002773",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Davey, DMD, PH D
• David a Stone
• David P.Gorman, MD PC
• Martin A Davidson, M.D.
• Nancy Beth Davidson, RN
• Barbara Davis-Meconi, R.N.
• Gordon H Davis, DMD,DMSC
• Jerome Alfred Davis, M.D.
• Kelly L Davis, PT
• Robert Earle Davis

• Audiologist in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.