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SHELLEY POE ROATEN JR. MD
NPI 1336101377
Family Medicine - Adult Medicine in Dallas, TX

Active since April 05, 2006
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-8259 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shelley Poe Roaten Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLEY POE ROATEN JR. MD (NPI 1336101377) is an individual adult medicine provider in Dallas, Texas, licensed in Texas (E2822) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1336101377
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameSHELLEY POE ROATEN JR.Credential: MD
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7208
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 648-8259
Phone(214) 648-8259
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateMarch 31, 2008
✔ NPI 1336101377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TX · E2822
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

5323 HARRY HINES BLVD, Dallas, TX 75390
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Other Identifiers 2

Medicare UPINB25960
Medicare ID-Type Unspecified863334TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN GINGRICH M.D.
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-7833
DR. BRUCE A MEYER M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9794
GREGORY A MILLNAMOW MD
Radiology (Diagnostic Radiology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8018
SUNATI SAHOO MD
Pathology (Anatomic Pathology & Clinical Pathology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 590-8607
MS. PIA BANERJI M.S., C.G.C
Genetic Counselor, MS
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-1998
YISHENG V FANG MD
Pathology (Immunopathology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 590-8651
DR. IMRAN R. KHAWAJA MD
Internal Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-5777
DR. SARA ANTOINETTE MONAGHAN MD
Pathology (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-6312

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelley Roaten's NPI number?

The NPI number for Shelley Roaten is 1336101377. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Shelley Roaten located?

Shelley Roaten practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-8259.

What is Shelley Roaten's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Shelley Roaten was last updated on March 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.