Heather Leanne Roe, DO

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

05-33067 Issued in KS

Practice address

6135 E Central Ave
Wichita, KS 67208-4209

Phone

(316) 854-1045

Fax

(316) 854-5262

NPI assigned

May 3, 2007

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harmony Medical Clinic

  • Clinic/Center
  • Wichita, KS
  • NPI 1932635612
  Authorized official Same address or phone
• Community Wellness Medical Associates a PC

  • Family Medicine Physician
  • Danville, KY
  • NPI 1952995615
  NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1770705253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084209",
            "telephone_number": "316-854-1045",
            "fax_number": "316-854-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084209",
            "telephone_number": "316-854-1045",
            "fax_number": "316-854-5262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670025500",
            "country_code": "US",
            "telephone_number": "913-642-4900 x247",
            "fax_number": "913-381-0979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "HEATHER",
        "middle_name": "LEANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0533067",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0533067",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KS",
            "license": "05-33067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunda Marie Rodriguez, D.O.
• Stacey Lynn Rodriguez, LSCSW
• Sydney Lauren Rodriguez, PT, DPT
• Tarah Rodriguez, LPN
• Miriam Rodriquez, MA
• Vicki L Roe, CRNA
• Alisha Roemer, MA CCC-SLP
• Anton Rogachov, DO
• Roger W. Roberts, D.O., P.a.
• Andrea Michelle Rogers, PMHNP-BC

• Addiction Medicine (Family Medicine) Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Addiction Medicine (Family Medicine) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.