Roger Robert Barrette, MD

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

MD026941E Issued in PA

Practice address

1033 Breezewood Drive
Canonsburg, PA 15317

Phone

(412) 335-9557

NPI assigned

Dec 14, 2005

Last updated

Dec 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Ssop

  • Trauma Surgery Physician
  • Pittsburgh, PA
  • NPI 1073539284
  NPD (past)
• West Penn Allegheny Health System, Inc.

  dba Tri-County Cardiology

  • Interventional Cardiology Physician
  • Lower Burrell, PA
  • NPI 1033127535
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1063497865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 BREEZEWOOD DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178557",
            "telephone_number": "412-335-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 BREEZEWOOD DRIVE",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "15317",
            "telephone_number": "412-335-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETTE",
        "first_name": "ROGER",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD026941E",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD026941E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011418810007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03196774",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007428000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paramvir S. Bains, DO
• Heather Bajack
• Claire Barber, MS, NCC
• James M Barnes, RPH
• Barr Street Corporation (Townview Health and Rehabilitation Center)
• Lorra Barron, PT
• Bayada Home Health Care, Inc.
• Margaret Anita Beamer, DDS
• Elizabeth M Beck-Molinaro, OTR
• Hilary Begg

• Trauma Surgery Physician in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Trauma Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.