Organization Active NPI

Walter Roettinger, M.D., Inc.

  • Plastic Surgery Physician
  • Newport, RI
National Provider Identifier
1700031531
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4796 Issued in RI
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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.NPI 1063564821
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.