Tammy Denise Roe, PA - C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA742 Issued in NV

Practice address

9175 W Oquendo Rd
Las Vegas, NV 89148-1234

Phone

(702) 252-7342

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accelerated Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297223

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Sky Pointe Healthcare LTD

  • Medical Physician Assistant
  • Las Vegas, NV
  • NPI 1336382894
  Medicare reassignment Authorized official
• Ro'Maure' Regenerative Health & Wellness

  • Medical Physician Assistant
  • Las Vegas, NV
  • NPI 1699538116
  NPD Authorized official
• Azure Guerra PLLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1124341755
  NPD (past)
• Howard G Gelfand MD LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • N Las Vegas, NV
  • NPI 1013242791
  NPD (past)
• International Healing and Hyperbaric LTD

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Las Vegas, NV
  • NPI 1033397625
  NPD (past)
• MMCS LLC Kathryn Gelo Sole MBR

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1265681589
  NPD (past)

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

• Accelerated Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1659725505
  Care Compare affiliation

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1164495651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SKY POINTE DR",
            "address_2": "SUITE 140-148",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314047",
            "telephone_number": "702-860-9179",
            "fax_number": "702-655-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9175 W OQUENDO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481234",
            "telephone_number": "702-252-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "TAMMY",
        "middle_name": "DENISE",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018661",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102661",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Lee Roe
• Emily Marie Roe
• Jason John Roe, LAT, ATC, CMT
• Jessica Roe
• Lisa Harriett Roe, BA MA
• Rhyasin John Roebuck
• Lusine Roeder
• Roehl T Pena MD
• Casey Allan Roehr
• Taylor Ashly Roehr

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.