David Eugene Roddy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

052316 Issued in OH

Practice address

100 Dawn Lane
Ste 4
Waverly, OH 45690

Phone

(740) 947-7591

Fax

(740) 947-7592

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Pavilion at Piketon for Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • Piketon, OH
  • NPI 1598260952
  NPD (past)
• Pleasant Hill Leasing, LLC

  • Skilled Nursing Facility
  • Piketon, OH
  • NPI 1558729806
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1952355679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DAWN LANE",
            "address_2": "STE 4",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "45690",
            "telephone_number": "740-947-7591",
            "fax_number": "740-947-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DAWN LANE",
            "address_2": "STE 4",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "45690",
            "telephone_number": "740-947-7591",
            "fax_number": "740-947-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDY",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "052316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0729788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valena Sacheen Roberts, LPN
• Heather Dawn Robinson
• John Wade Robinson II
• Sarah Jean Robinson
• Amy Robles
• Richard C Rooney, M.D.
• Holly Katheryne Rose
• Ashley Ann Ross
• Chandler Ruggles
• Brittany Russell

• Internal Medicine Physician in Waverly, OH
• Providers in Waverly, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.