Martha Susan Roellig, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2004015334 Issued in MO

Practice address

1 Jarrett White Rd
Tripler Army Medical Center MCHK-Fme
Tamc, HI 96859-5001

Phone

(808) 433-5000

NPI assigned

Mar 2, 2006

Last updated

Oct 16, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Specialty

Emergency Medicine

Education

Saint Louis University School of Medicine, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Health & Services Oregon

  dba Providence Medical Group

  • General Practice Physician
  • Lake Oswego, OR
  • NPI 1023488343
  NPD
• Tuality Healthcare

  dba Hillsboro Medical Center

  • General Acute Care Hospital
  • Hillsboro, OR
  • NPI 1275591984
  NPD
• Dallas Oregon Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dallas, OR
  • NPI 1659661155
  NPD (past)
• Salem Health West Valley

  • Critical Access Hospital
  • Dallas, OR
  • NPI 1245237486
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1316914807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44580 NW COMET CT",
            "city": "BANKS",
            "state": "OR",
            "postal_code": "971068842",
            "telephone_number": "808-358-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER MCHK-FME",
            "city": "TAMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELLIG",
        "first_name": "MARTHA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2004015334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Sergio Gomes Pina, MD
• William Joseph Quinn Jr., M.D.
• Aparna Barbara Raizada, PHARM.D
• Inez Remigio, LPN
• Cathleen Cline Rice, CRNA
• Christina B Rumayor, M.D.
• Darryl Stephen Salvador, PSY.D.
• Taylor Lee Sawyer, D.O.
• David Gordon Schall, MD
• James Randal Sellars, CRNA

• Emergency Medicine Physician in Tamc, HI
• Providers in Tamc, HI by specialty
• Emergency Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.