Lisa M Roten

MD | Pediatric Cardiology | Female

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Complete Profile:

Lisa M Roten basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Lisa M Roten
Credential :	MD
Gender :	Female

Business Address:

Lisa M Roten address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1500 Cooper St Fort Worth, TX, 76104-2710 United States
Phone Number :	682-885-2140
Fax Number :	817-332-2506

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1750489993
NPI Entity Type :	Individual
First Enrolment Date :	20 Sep, 2006
Last Updated On :	09 Apr, 2021

Medicare Participation:

Lisa M Roten participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4789658881
Medicare Enrollment ID :	I20040824000937
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	University Of South Carolina School Of Medicine
Graduation Year :	1993
Accepts Medicare?	Yes. Lisa M Roten accepts medicare insurance.

Group Practice Association:

Lisa M Roten is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Lisa M Roten is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Cook Childrens Physician Network	7719884584	201	801 7th Ave Fort Worth, TX - 761042733	Yes
Cook Childrens Physician Network	7719884584	201	801 7th Ave Ft Worth, TX - 761042733 Ph: 8178707946	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa M Roten are as mentioned. Primary taxonomy code for Lisa M Roten, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	K8462	TX

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 99371 Fort Worth, TX, 76199-0371 United States
Phone Number :	682-885-1855
Fax Number :	682-885-7347

Business Location:

Patients can refer following map for directions to Lisa M Roten practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.