John Orville Roller, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

000740 Issued in MO

Practice address

1691 S Bus Hwy 65
Hollister, MO 65672-6342

Phone

(417) 336-3210

Fax

(417) 336-3201

NPI assigned

Aug 12, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1285636753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656730147",
            "telephone_number": "417-336-3210",
            "fax_number": "417-336-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 S BUS HWY 65",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656726342",
            "telephone_number": "417-336-3210",
            "fax_number": "417-336-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "JOHN",
        "middle_name": "ORVILLE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MO",
            "license": "000740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00357831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plastic Surgery & Weight Loss CNTR
• Jeffrey Scott Rick, D.D.S.
• Trevor B Rick, DDS
• Melonie Renee Roberts, FNP-BC
• Roller Enterprises LLC
• RPCS, Inc.
• School Dist R5 Hollister
• Jennifer Nicole Schulte, MSW, LCSW
• Serc Rehabilitation Partners LLC
• Skaggs Community Hospital Association

• Primary Podiatric Medicine Podiatrist in Hollister, MO
• Providers in Hollister, MO by specialty
• Primary Podiatric Medicine Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.