Individual provider Active NPI

George Patrick Roller, MD

  • Emergency Medicine Physician
  • Saginaw, MI
National Provider Identifier
1932235348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301047376 Issued in MI
Practice address
800 S Washington Ave
Saginaw, MI 48601-2551
Phone
(989) 793-7220
Fax
(989) 793-7482
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301047376 MI Primary

Addresses

Primary practice location

800 S Washington Ave
Saginaw, MI 48601-2551

Mailing address

4677 Towne Centre Rd
Suite 302
Saginaw, MI 48604-2846
Phone (989) 793-7220

Other identifiers 1

IdentifierTypeStateIssuer
25750177MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000672 MI Practitioner - Emergency MedicinePractitioner - General Practice 5890788822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018

703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5120

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center Clare Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Midland Emergency Medicine CurrentSince Jun 11, 2017 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jun 11, 2017 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Midland Current Accepting new patients
Mymichigan Medical Center Gladwin Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Gladwin Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Clare Past Accepting new patients

Locations

3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

800 S Washington Ave
Ph
Saginaw, MI 48601
Phone (989) 793-7220

4599 Towne Centre Rd
Rm Phys
Saginaw, MI 48604
Phone (989) 497-3214

800 S Washington Ave
Rm Physician
Saginaw, MI 48601
Phone (989) 793-7220

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

Interoperability endpoints

  • Direct secure messaging: groller42382@mymichiganhealth.midirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932235348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD",
            "address_2": "SUITE 302",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-793-7220",
            "fax_number": "989-793-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012551",
            "telephone_number": "989-793-7220",
            "fax_number": "989-793-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "GEORGE",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301047376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25750177",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.