Walter Frank Roettinger II, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4796 Issued in RI

Practice address

222 Bellevue Ave
Newport, RI 02840-3515

Phone

(401) 849-2826

Fax

(401) 847-1695

NPI assigned

Jan 18, 2007

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walter Roettinger, M.D., Inc.

  • Plastic Surgery Physician
  • Newport, RI
  • NPI 1700031531
  NPD Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1063564821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BELLEVUE AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403515",
            "telephone_number": "401-849-2826",
            "fax_number": "401-847-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BELLEVUE AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403515",
            "telephone_number": "401-849-2826",
            "fax_number": "401-847-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROETTINGER",
        "first_name": "WALTER",
        "middle_name": "FRANK",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "RI",
            "license": "4796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002051",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Robbs
• Kendall Lynne Roberts, DPT
• Harold Cole Robinson
• Briana Haley Rodrigues, LICSW
• Brooke Marie Roebuck, MD
• Luis Francisco Rosario, DDS
• Kelly Rosenbeck, APRN, FNP-C
• Neil A Rosenberg, DDS
• Judi B Rosenthal, M.D.
• Kenneth Rosenthal, PHD, MSW

• Plastic Surgery Physician in Newport, RI
• Providers in Newport, RI by specialty
• Plastic Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.