Organization Active NPI

Dr Roel Demesa Compendio PC

  • Psychiatry Physician
  • Paoli, PA
National Provider Identifier
1245337450
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD063208L Issued in PA
Legal business name
DR ROEL DEMESA COMPENDIO PC
Practice address
15 Industrial Blvd
Suite 203
Paoli, PA 19301-1608
Phone
(610) 240-0240
Fax
(610) 240-0335
NPI assigned
Sep 20, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Dr. Roel D CompendioNPI 1902885296
Title
Director
Phone
(610) 240-0240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD063208L PA Primary

Addresses

Primary practice location

15 Industrial Blvd
Suite 203
Paoli, PA 19301-1608

Mailing address

9 Malin Station Rd
Malvern, PA 19355-1676
Phone (610) 240-0240

Other identifiers 1

IdentifierTypeStateIssuer
020415T41OtherPAMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1245337450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MALIN STATION RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551676",
            "telephone_number": "610-240-0240",
            "fax_number": "610-240-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 INDUSTRIAL BLVD",
            "address_2": "SUITE 203",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011608",
            "telephone_number": "610-240-0240",
            "fax_number": "610-240-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROEL DEMESA COMPENDIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "COMPENDIO",
        "authorized_official_first_name": "ROEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-240-0240",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD063208L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "020415T41",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.