NPIMap

Individual provider Active NPI

Christina Patricia Roosa, D.O.

  • Family Medicine Physician
  • Olean, NY
National Provider Identifier
1033304803
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
256322 Issued in NY
Practice address
135 N Union St
Olean, NY 14760-2736
Phone
(716) 375-7500
Fax
(716) 701-6852
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 256322 NY Primary
Obstetrics & Gynecology Physician 207V00000X 256322 NY

Addresses

Primary practice location

135 N Union St
Olean, NY 14760-2736

Mailing address

135 N Union St
Stchcn/Upc
Olean, NY 14760-2736
Phone (716) 701-6881

Other identifiers 1

IdentifierTypeStateIssuer
03215083MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000475 NY Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 0749375830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

135 N Union St
Olean, NY 14760-2736
Phone 71637575006879

140 W Main St
Suite 1
Cuba, NY 14727-1317
Phone 71637575006879

9864 Luckey Dr
Houghton, NY 14744-8706
Phone 71637575006879

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Tier Community Health Center Network, Inc. Family Medicine CurrentSince Jun 10, 2010 Accepting new patients
Southern Tier Community Health Center Network, Inc. Family Medicine CurrentSince Jun 10, 2010 Accepting new patients
Washington Hospital Past Accepting new patients

Locations

132 W Main St
Cuba, NY 14727

500 Main St
Olean, NY 14760
Phone (716) 373-2600

135 N Union St
Olean, NY 14760

Interoperability endpoints

  • Direct secure messaging: christina.roosa@sthc.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1033304803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N UNION ST",
            "address_2": "STCHCN/UPC",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-701-6881",
            "fax_number": "716-701-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-375-7500",
            "fax_number": "716-701-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOSA",
        "first_name": "CHRISTINA",
        "middle_name": "PATRICIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "256322",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "256322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03215083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.