Roosevelt Surgical Associates,Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ROOSEVELT SURGICAL ASSOCIATES,INC.

Practice address

4040 Roosevelt Blvd
Middletown, OH 45044-6619

Phone

(513) 424-0941

Fax

(513) 424-9758

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Garner

Title

Office Manager

Phone

(513) 424-0941

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1528007929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446619",
            "telephone_number": "513-424-0941",
            "fax_number": "513-424-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446619",
            "telephone_number": "513-424-0941",
            "fax_number": "513-424-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT SURGICAL ASSOCIATES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-424-0941",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0973138",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary W Rode
• Mary-Kathryn Rodriguez, IMFT
• David Roemisch, DDS
• Kari Lynn Rogers
• Susan E Rogers, M.S., CCC-SLP
• Erin Roseberry
• Kirsten Roseberry
• Mark A Roser, DPT
• Linda Laureen Rovito, PCC
• Samantha Rowe

• Surgery Physician in Middletown, OH
• Providers in Middletown, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.