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Richard Allen Roller

  • Male

Medical Specialty

Professional ID

  • NPI: 1487610564
  • PECOS ID: 0042467441
  • Enrollment ID: I20120820000741
  • Credential(MD, DO, DPM):
  • Medical School: Baylor College Of Medicine
  • Medical School Graduation Year: 2000

Hospital Service

  • Hospital CCN1: 010049
  • Business Name (LBN)1: Medical Center Enterprise
  • Hospital CCN2: 010055
  • Business Name (LBN)2: Flowers Hospital

Medical Practices

  • Organization Name: Enterprise Clinic Llc
  • Group Practice ID assigned by PECOS: 1456488667
  • Number of Group Practice member: 7

Location

  • Address1: 805 E Lee St C
  • Address2:
  • City: Enterprise
  • State: Alabama
  • Zip Code: 36330
  • Phone Number: (334)348-8818

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes