Michelle A Roda, DO

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

34010711 Issued in OH

Practice address

Dwight D Eisenhower Army Medical Center
300 E. Hospital Rd.
Fort Gordon, GA 30905-5741

Phone

(706) 787-5864

Fax

(706) 787-3999

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Eastside ENT Specialists, Inc

  • Specialist
  • Painesville, OH
  • NPI 1215907845
  NPD (past)
• Galesburg Clinic PC

  • Specialist
  • Galesburg, IL
  • NPI 1972614808
  NPD (past)
• Gary R Kutsikovich MD and Associates Inc

  • Neurology Physician
  • Mentor, OH
  • NPI 1841250420
  NPD (past)
• Neurological Clinic, SC

  • Clinic/Center
  • Annandale, VA
  • NPI 1144879206
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1841233673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CAMBER LN APT 7108",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090320",
            "telephone_number": "312-520-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DWIGHT D EISENHOWER ARMY MEDICAL CENTER",
            "address_2": "300 E. HOSPITAL RD.",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-787-5864",
            "fax_number": "706-787-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODA",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34010711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Matthew Rivera, MD
• Marilyn A Rivera, RPH
• Natalia R. Rivera, LCSW
• David Bentley Roberson, DMD
• Emily Ann Robinson, APRN
• Thais Rodriguez Fletcher, CRNA
• Jorge M Rodriguez
• Lavinia Rodriguez, MSW
• Jonathan D Roebuck
• Kenneth B. Roland Jr., PA-C

• Neurology Physician in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.