Active NPI
Eliseo M. Roquiz, M.D.
- Anesthesiology Physician
- Erie, PA
National Provider Identifier
1891788378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD022695E
- Practice address
- 232 W 25TH St
Erie, PA 16544-0002 - Phone
- (814) 452-5000
- Fax
- (814) 452-5348
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD022695E | PA | Primary |
Addresses
Primary practice location
232 W 25TH St
Erie, PA 16544-0002
Mailing address
225 W 25TH St
Suite 408
Erie, PA 16502-2703
Phone (814) 454-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009192260006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD022695E | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millcreek Community Hospital | Past | Accepting new patients | |
| Eliseo M. Roquiz MD | Anesthesiology | Past | Accepting new patients |
| Anesthesia Consultants of Erie, Inc. | Anesthesiology | Past | Accepting new patients |
| Millcreek Community Hospital | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Anesthesiology Physician
- Erie, PA
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- Anesthesiology Physician
- Erie, PA
- NPI 1003809559
-
- General Acute Care Hospital
- Erie, PA
- NPI 1548263973
-
- Anesthesiology Physician
- Erie, PA
- NPI 1730333659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891788378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W 25TH ST",
"address_2": "SUITE 408",
"city": "ERIE",
"state": "PA",
"postal_code": "165022703",
"telephone_number": "814-454-8885",
"fax_number": "814-456-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W 25TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165440002",
"telephone_number": "814-452-5000",
"fax_number": "814-452-5348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUIZ",
"first_name": "ELISEO",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD022695E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009192260006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.