| Ricardo A Roa, MD | |
|
96 Township Road 369 Ste 101, Proctorville, OH 45669-9133 | |
| (740) 886-9370 | |
| (740) 886-9374 |
| Full Name | Ricardo A Roa |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 96 Township Road 369 Ste 101, Proctorville, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700821907 | NPI | - | NPPES |
| 000000222804 | Other | OH | OH MEDICAID UNISON |
| P00420122 | Other | RAILROAD MEDICARE | |
| 1044883 | Other | WV | BWC |
| 1700821907 | Other | OH | MOUTAIN STATE BC/BS |
| 310917085172 | Other | OH | OH MEDICAID CARESOURCE |
| 0954356 | Medicaid | OH | |
| 0100708000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 17624 (West Virginia) | Secondary |
| 207Y00000X | Otolaryngology | 35-07-8877-R (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo A Roa, MD 90 Jackson Pike, Gallipolis, OH 45631 Ph: (740) 886-9370 | Ricardo A Roa, MD 96 Township Road 369 Ste 101, Proctorville, OH 45669-9133 Ph: (740) 886-9370 |
Jeremy Clifton Cuzzourt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 98 State St, Proctorville, OH 45669 Phone: 855-446-5937 Fax: 740-886-9374 |