Individual provider Active NPI

Joshua Robert Roe, M.D.

  • Cornea and External Diseases Specialist Physician
  • Tacoma, WA
National Provider Identifier
1083988851
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
ME120018 Issued in FL
Practice address
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone
(253) 968-1670
NPI assigned
Feb 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A149083 CA
Ophthalmology Physician 207W00000X ME120018 FL
Cornea and External Diseases Specialist Physician 207WX0120X ME120018 FL Primary

Addresses

Primary practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Mailing address

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-1670

Other practice location 1

WHMC/GE-2200 Bergquist Drive, Suite 1
Lackland AFB, TX 78236-5300
Phone (210) 292-6583

Other practice location 2

WHMC/GE-2200 Bergquist Drive, Suite 1
Lackland AFB, TX 78236-5300
Phone (210) 292-6583

Other practice location 3

2452 Watson Ct
Palo Alto, CA 94303-3216
Phone (650) 723-6995

Other practice location 4

3220 N McMullen Booth Rd
Clearwater, FL 33761-2012
Phone (727) 723-8706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128001864 FL Practitioner - Ophthalmology 1658637152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3220 N McMullen Booth Rd
Clearwater, FL 33761-2009
Phone (727) 581-8706

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149083CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Physicians of Pinellas, PA CurrentSince Nov 21, 2022 Accepting new patients
St. Petersburg Outpatient Surgery Center, LLC CurrentSince May 22, 2023 Accepting new patients
The Eye Physicians of Pinellas, PA Ophthalmology CurrentSince Nov 21, 2022 Accepting new patients
Stanford Health Care Past Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients

Locations

3220 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 723-8706

148 13th St SW
Ste 200
Largo, FL 33770
Phone (727) 450-3030

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

6133 Central Ave
St Petersburg, FL 33710
Phone (727) 344-3008

501 N Howard Ave
Ste 100
Tampa, FL 33606
Phone (813) 253-2727

Organizations & group practices 5

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 3

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": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1083988851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "WHMC/GE-2200 Bergquist Drive, Suite 1",
            "address_purpose": "LOCATION",
            "city": "Lackland AFB",
            "state": "TX",
            "postal_code": "782365300",
            "country_code": "US",
            "telephone_number": "210-292-6583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "WHMC/GE-2200 Bergquist Drive, Suite 1",
            "address_purpose": "LOCATION",
            "city": "Lackland AFB",
            "state": "TX",
            "postal_code": "782365300",
            "country_code": "US",
            "telephone_number": "210-292-6583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2452 Watson Ct",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943033216",
            "country_code": "US",
            "telephone_number": "650-723-6995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 N McMullen Booth Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612012",
            "country_code": "US",
            "telephone_number": "727-723-8706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "JOSHUA",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A149083",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME120018",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "FL",
            "license": "ME120018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.