Provider Demographics
NPI:1265423222
Name:ROE, DUANE C (MD)
Entity type:Individual
Prefix:DR
First Name:DUANE
Middle Name:C
Last Name:ROE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:570 WHITE POND DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-4205
Mailing Address - Country:US
Mailing Address - Phone:330-869-0124
Mailing Address - Fax:330-869-2852
Practice Address - Street 1:570 WHITE POND DR
Practice Address - Street 2:SUITE 100
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4205
Practice Address - Country:US
Practice Address - Phone:330-869-0124
Practice Address - Fax:330-869-2852
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2010-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35035070R207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2900327OtherUHC
OH34129662100OtherCAREWORKS
OH34129662100OtherCHAMPUS
OH000000129699OtherBCBS
OH730009OtherBUCKEYE MEDICAID
OH341296621029OtherCARESOURCE
OH101784OtherKAISER
OH8466976OtherAETNA
OH0335631Medicaid
OH341296621BOtherSUMMACARE
OH791101005OtherRAILROAD MEDICARE
OH34129662100OtherCAREWORKS
OH8466976OtherAETNA