| Keith A Roller, MD | |
|
8401 Market St, Boardman, OH 44512-6725 | |
| (330) 286-5330 | |
| (330) 286-5396 |
| Full Name | Keith A Roller |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 8401 Market St, Boardman, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629012950 | NPI | - | NPPES |
| 2600242 | Medicaid | OH | |
| H011682 | Other | OH | MEDICARE PTAN |
| P01200681 | Other | OH | MEDICARE RAILROAD |
| 10896526 | Other | CAQH | |
| 1028247410001 | Medicaid | PA | |
| 000000811586 | Other | OH | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35058177 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bel-park Anesthesia Associates, Inc. | 8628974904 | 137 |
| Entity Name | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
| Entity Name | Northstar Anesthesia Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith A Roller, MD 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Keith A Roller, MD 8401 Market St, Boardman, OH 44512-6725 Ph: (330) 286-5330 |
Ronald J Prizant, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6505 Market Street Suite #101, The Orthopedic Surgery Center C/o Ez Anesthesia, Llc, Boardman, OH 44512 Phone: 330-758-1065 | |
Dr. Manu Sethi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7525 California Ave, Boardman, OH 44512 Phone: 330-758-1954 | |
Dr. Laura Nicole Zeigler, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 6505 Market St., Boardman, OH 44512 Phone: 330-746-8110 | |
Robert S Bakondy, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 7525 California Ave, Boardman, OH 44512 Phone: 330-758-1954 | |
Ronald F. Mullis, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-2929 Fax: 330-729-1841 |