MEDICARE: DANIEL J ROEDER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	04-24450	KS

General Provider Information

NPI Number	:	1033188107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL J ROEDER MD

Provider Business Mailing Address
First Line	:	901 PINE ST
Second Line	:
City	:	FRANKFORT
State	:	KS
Zip	:	66427-1132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 PINE ST
Second Line	:
City	:	FRANKFORT
State	:	KS
Zip	:	66427-1132
Country	:	US
Telephone Number	:	785-270-0047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	03/31/2025

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Directions to “ DANIEL J ROEDER MD” Practice Location

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