Shelby Diane Rolader, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DO.2621 Issued in AL

Practice address

2401 Village Professional Dr S
Opelika, AL 36801-4702

Phone

(334) 749-8121

Fax

(334) 749-6166

NPI assigned

May 14, 2018

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shelbyrolader@pcllc.allscriptsdirect.net

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.

• Pediatric Clinic LLC

  • Pediatrics Physician
  • Opelika, AL
  • NPI 1134286248
  NPD (past)
• Pediatric Clinic LLC

  • Pediatrics Physician
  • Auburn, AL
  • NPI 1205977089
  NPD (past)
• Pediatric Clinic LLC

  • Pediatrics Physician
  • Auburn, AL
  • NPI 1588425953
  NPD (past)
• The East Alabama Health Care Authority

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  NPD (past)

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1366932568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CHILDRENS AVE",
            "address_2": "OUCP 14000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 VILLAGE PROFESSIONAL DR S",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014702",
            "telephone_number": "334-749-8121",
            "fax_number": "334-749-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLADER",
        "first_name": "SHELBY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "DO.2621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer P Robinson, RPH
• Tykerriah Shabyria Robinson
• Crystal Michelle Rodgers, ATC
• Brian Edward Rogers, M.D.
• Destiny Danielle Rogers, PHARMD
• Brittany Rollo, CRNP
• Terrance Christopher Rosenthal, A.T., C.
• Lawrence Christopher Ross, LPC
• Sophie Leigh Roth
• William Patrick Roush, MD

• Pediatrics Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; 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.