Diana Tong Roetting, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-04133 Issued in NC

Practice address

130 Providence Rd Ste 100
Charlotte, NC 28207-1242

Phone

(704) 333-9113

Fax

(704) 333-9757

NPI assigned

Mar 12, 2013

Last updated

Nov 20, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: droetting@directaddress.net

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1891036059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 CRAFTSMAN LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044392",
            "telephone_number": "512-296-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PROVIDENCE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071242",
            "telephone_number": "704-333-9113",
            "fax_number": "704-333-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROETTING",
        "first_name": "DIANA",
        "middle_name": "TONG",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-04133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Roeder, DC
• Michelle L Roehm, CRNA
• Ashley Ayers Roehrig, RD, LDN
• Philip Roehrs, MD
• Clifford Eric Roemer, M.D.
• Madison Rogan, OTR/L
• Skylar Madie Rogan, OTR/L
• Sandra Lynn Rogelberg
• Kristin Louise Rogentine-Lee, PH.D.
• Roger G. Tans, D.D.S., P.a.

• Medical Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.