Mary Elizabeth Roehmholdt MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

128036 Issued in NY

Legal business name

MARY ELIZABETH ROEHMHOLDT MD

Practice address

300 Essjay Road
Suite 105
Williamsville, NY 14221

Phone

(716) 634-6357

Fax

(716) 634-3448

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Elizabeth Anne Roehmholdt, MD

Title

Owner

Phone

(716) 634-6357

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1952422792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ESSJAY ROAD",
            "address_2": "SUITE 105",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-634-6357",
            "fax_number": "716-634-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ESSJAY ROAD",
            "address_2": "SUITE 105",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-634-6357",
            "fax_number": "716-634-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELIZABETH ROEHMHOLDT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "ROEHMHOLDT",
        "authorized_official_first_name": "MARY ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-634-6357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "128036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0502672",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00481021",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020058901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION BD",
            "identifier": "CPNN128036",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristobal Antonio Martinez, DC
• Jeffrey W Martinez, M.D.
• David J Martinke, D.O.
• Robert N Martino, CRNA
• Cari Marx, RN
• Nicholas G Masia, D.C.
• Marina Nicole Maslek
• Jessica Mason, LPN
• Paul J Mason, M.D.
• Michael Massaro, PT

• Neurology Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.