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NPI Code Detail

MEDICARE: DR. RICHARD C ROONEY M.D.

MEDICARE: DR. RICHARD C ROONEY M.D.
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
1208600000XSurgery Physician35030332OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11800051OTHEROHUNITED HEALTHCARE
24456631OTHEROHAETNA
3000000118307OTHEROHANTHEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396768008
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD C ROONEY M.D.
Provider Business Mailing Address
First Line : 100 DAWN LN
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9138
Country : US
Telephone Number : 740-947-6460
Fax Number : 740-947-6466
Provider Business Practice Location Address
First Line : 100 DAWN LN
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9138
Country : US
Telephone Number : 740-947-6460
Fax Number : 740-947-6466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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