Active NPI
Walter Roettinger, M.D., Inc.
- Plastic Surgery Physician
- Newport, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 4796
- Legal business name
- WALTER ROETTINGER, M.D., INC.
- Practice address
- 222 Bellevue Ave
Newport, RI 02840-3515 - Phone
- (401) 849-2826
- Fax
- (401) 847-1695
- NPI assigned
- Nov 20, 2008
- Last updated
- Nov 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Walter Frank Roettinger II, M.D.
- Title
- President
- Phone
- (401) 849-2826
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 4796 | RI | Primary |
Addresses
Primary practice location
222 Bellevue Ave
Newport, RI 02840-3515
Mailing address
222 Bellevue Ave
Newport, RI 02840-3515
Phone (401) 849-2826
National Provider Directory
National Provider DirectoryLocations
294 Valley Rd
Ste 4
Middletown, RI 02842
Phone (401) 849-2826
222 Bellevue Ave
Newport, RI 02840
Phone (401) 849-2826
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Newport, RI
- NPI 1063564821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227139200000",
"number": "1700031531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 BELLEVUE AVE",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028403515",
"telephone_number": "401-849-2826",
"fax_number": "401-847-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 BELLEVUE AVE",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028403515",
"telephone_number": "401-849-2826",
"fax_number": "401-847-1695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALTER ROETTINGER, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A",
"authorized_official_last_name": "ROETTINGER",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "FRANK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-849-2826",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "RI",
"license": "4796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.