Organization Active NPI

Jobeth Rollandini, DPM, LLC

  • Podiatrist
  • Saint Clairsville, OH
National Provider Identifier
1669979084
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003639 Issued in OH
Legal business name
JOBETH ROLLANDINI, DPM, LLC
Practice address
46650 National Rd
Saint Clairsville, OH 43950-9717
Phone
(740) 391-0766
Fax
(740) 567-2266
NPI assigned
Apr 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Dr. Jobeth Rollandini, DPMNPI 1013204908
Title
Owner
Phone
(740) 298-0333

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
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 36.003639 OH Primary

Addresses

Primary practice location

46650 National Rd
Saint Clairsville, OH 43950-9717

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Other practice location 1

92 N 4th St Ste 17
Martins Ferry, OH 43935-1600
Phone (740) 391-0766

Other identifiers 1

IdentifierTypeStateIssuer
0276626MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180614002142 WV Part B Supplier - Clinic/Group Practice 4981959962 Receives reassigned benefits from 1 practitioner
Practice locations: Wheeling, WV
O20180702002739 OH Part B Supplier - Clinic/Group Practice 4981959962 Receives reassigned benefits from 1 practitioner
Practice locations: Martins Ferry, OH; Saint Clairsville, OH

National Provider Directory

National Provider Directory

Locations

92 N 4th St
Ste 17
Martins Ferry, OH 43935
Phone (740) 391-0766

46650 National Rd
Saint Clairsville, OH 43950
Phone (740) 391-0766

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1669979084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106",
            "fax_number": "304-242-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46650 NATIONAL RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509717",
            "telephone_number": "740-391-0766",
            "fax_number": "740-567-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 N 4th St Ste 17",
            "address_purpose": "LOCATION",
            "city": "Martins Ferry",
            "state": "OH",
            "postal_code": "439351600",
            "country_code": "US",
            "telephone_number": "740-391-0766",
            "fax_number": "740-567-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOBETH ROLLANDINI, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "ROLLANDINI",
        "authorized_official_first_name": "JOBETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-298-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276626",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.