DOUGLAS LEE ROEN PA
NPI 1457498453
Physician Assistant - Surgical in Oakland, CA
- Individual
- Male
- Physician Assistant
- Surgical
- PECOS Enrolled
About DOUGLAS ROEN
This page provides the complete NPI Profile along with additional information for Douglas Roen, a provider established in Oakland, California with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1457498453 assigned on January 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 16016 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1457498453 Verify this NPI
- Provider Name
- DOUGLAS LEE ROEN PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 275 W MACARTHUR BLVD OAKLAND, CA 94611
- Location Phone
- (510) 752-1000
- Location Fax
- (510) 752-6674
- Mailing Address
- 275 W MACARTHUR BLVD OAKLAND, CA 94611
- Mailing Phone
- (510) 752-1000
- Mailing Fax
- (510) 752-6674
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-30-2007
- Last Update Date
- 01-03-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 16016
- License State
- CA
Medicare Participation & PECOS Enrollment Status
Douglas Roen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457498453, enumerated as an "individual" on January 30, 2007.
The provider is located at 275 W MACARTHUR BLVD OAKLAND, CA 94611 and the phone number is (510) 752-1000.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
