Provider Demographics
NPI:1497830566
Name:CECH, ROXANNE M (MD)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:M
Last Name:CECH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BRENTWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1507
Mailing Address - Country:US
Mailing Address - Phone:740-249-4213
Mailing Address - Fax:
Practice Address - Street 1:320 E 8TH ST STE 141
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3382
Practice Address - Country:US
Practice Address - Phone:740-374-5580
Practice Address - Fax:740-374-6266
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.058409207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0845376Medicaid
F03123Medicare UPIN
OH1497830566Medicare PIN