| Ricardo A Roa, MD | |
|
1611 27th St, Portsmouth, OH 45662-6931 | |
| (740) 356-6830 | |
| (740) 356-6803 |
| Full Name | Ricardo A Roa |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1611 27th St, Portsmouth, 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 1611 27th St, Portsmouth, OH 45662-6931 Ph: (740) 356-6830 | Ricardo A Roa, MD 1611 27th St, Portsmouth, OH 45662-6931 Ph: (740) 356-6830 |
Dr. George W Shahade, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1611 27th St Ste 202, Portsmouth, OH 45662 Phone: 740-356-6836 Fax: 740-356-6806 |