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DR. RANDOLPH W. ROLLER M.D.
NPI 1386744068
Obstetrics & Gynecology - Gynecology in Springfield, IL

Active since September 23, 2006
1025 S 6TH ST, SPRINGFIELD, IL 62703(217) 528-7541 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Randolph W. Roller M.d. NPPES

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

DR. RANDOLPH W. ROLLER M.D. (NPI 1386744068) is an individual gynecology provider in Springfield, Illinois, licensed in Illinois (036-054648) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1386744068
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. RANDOLPH W. ROLLERCredential: M.D.
Location Address1025 S 6TH STSpringfield, IL 62703-2403
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Phone(217) 528-7541
Sole ProprietorNo
Enumeration DateSeptember 23, 2006
Last NPPES UpdateAugust 19, 2008
✔ NPI 1386744068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 036-054648
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1025 S 6TH ST, Springfield, IL 62703
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Other Identifiers 3

Medicare ID-Type UnspecifiedK24507
Medicaid0360546648IL
Medicare UPINC43956

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.

JEREMY ELLIOTT
Nurse Practitioner (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
BARBARA J. WOLFSON L.C.P.C.
Counselor
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
DR. THOMAS NEIL ROOKE M.D.
Anesthesiology
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
AMANDA L. HOUSE FNP-BC
Nurse Practitioner (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
DELORES A GALLO CRNA
Nurse Anesthetist, Certified Registered
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
MS. NICOLETA EMILENA SPEIL M.D.
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
BINOD KHATIWADA MD
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
SUSAN STROW STEGEMAN M.D.
Ophthalmology
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541

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 Randolph Roller's NPI number?

The NPI number for Randolph Roller is 1386744068. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Randolph Roller located?

Randolph Roller practices at 1025 S 6th St, Springfield, IL 62703. The listed phone number is (217) 528-7541.

What is Randolph Roller's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Randolph Roller was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.