Tully Stephen Roisman, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12735 Issued in WV

Practice address

1151 Hal Greer Blvd
Huntington, WV 25701-3705

Phone

(304) 529-2800

Fax

(304) 529-2802

NPI assigned

Jun 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Huntington Eye Associates Inc.

  • Ophthalmology Physician
  • Huntington, WV
  • NPI 1760519755
  NPD (past) Authorized official
• Gregory Scott Moore OD PLLC

  • Optometrist
  • South Charleston, WV
  • NPI 1902231632
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1801822242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013705",
            "telephone_number": "304-529-2800",
            "fax_number": "304-529-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013705",
            "telephone_number": "304-529-2800",
            "fax_number": "304-529-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROISMAN",
        "first_name": "TULLY",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "12735",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "23615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096811000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64695562",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph A Rogers
• Philip Rogers
• Wesley J Rogers
• Allen Rohr
• Matthew Alan Rohrbach, MD
• Amanda Rolfe
• Christina Rollins
• James E Rollins, MD
• Jacqueline Rollyson, LPC
• Kyle Rood

• Ophthalmology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.