Ernesto Roederer, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD050021L Issued in PA

Practice address

514 W 3Rd Ave
Warren, PA 16365-2201

Phone

(814) 723-5545

Fax

(814) 723-6355

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Children'S Center for Treatment and Education

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, PA
  • NPI 1366609646
  Medicare reassignment NPD
• Deerfield Behavioral Health of Warren, LLC

  • Psychiatry Physician
  • Warren, PA
  • NPI 1134158314
  Medicare reassignment
• Childrens Center for Treatment and Education

  • Clinical Psychologist
  • Bradford, PA
  • NPI 1477626992
  NPD
• Warren County Commissioners

  • Case Management Agency
  • Warren, PA
  • NPI 1396780730
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790714905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W 3RD AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652201",
            "telephone_number": "814-723-5545",
            "fax_number": "814-723-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W 3RD AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652201",
            "telephone_number": "814-723-5545",
            "fax_number": "814-723-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDERER",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD050021L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/VALUE OPTI",
            "identifier": "271900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00050294001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "748501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert J Gatto Jr Chiropractor PC
• Melanie Roberts, PMHNP
• Makenzee A Robertson, LPC
• Amy Lynn Robinault, CRNP
• Theodore J Rockwell, DMD
• Ronald W Simonsen MD PC
• Devon Elizabeth Rosenberg, PT, DPT
• Robert T Ross, LSW
• Rrfcllc
• Martin E Ruhlman, R.PH.

• Psychiatry Physician in Warren, PA
• Providers in Warren, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.