Jeffrey E Roller, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

38682 Issued in NC

Practice address

2201 S Sterling St
Morganton, NC 28655-4044

Phone

(843) 237-3378

Fax

(843) 237-5073

NPI assigned

Apr 1, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Blue Ridge Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Valdese, NC
  • NPI 1306878442
  NPD (past)
• Frye Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Hickory, NC
  • NPI 1194781369
  NPD (past)

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1174584692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60356",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600356",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554044",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "38682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "73018",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8973018",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Cox Robinson, M.D.
• Mary Kathleen Robinson, F.N.P.
• Timothy Michael Robinson, M.D.
• Nelson Rodriguez, DMD
• Melissa Roll, LPN
• Andersyn Clontz Roper, LMFTA
• Madison Rose, DDS
• Richard Harlowe Rose, M.D.
• Donovan Ross, DO
• Elizabeth Dawn Ross

• Emergency Medicine Physician in Morganton, NC
• Providers in Morganton, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.