Provider Demographics
NPI:1992816359
Name:ROPPOLO, HELEN M (M D)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:M
Last Name:ROPPOLO
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 FREEPORT RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1968
Mailing Address - Country:US
Mailing Address - Phone:724-224-1840
Mailing Address - Fax:724-226-8440
Practice Address - Street 1:2801 FREEPORT RD
Practice Address - Street 2:SUITE 4
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1968
Practice Address - Country:US
Practice Address - Phone:724-224-1840
Practice Address - Fax:724-226-8440
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD012873E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009439380003Medicaid
PA0009439380003Medicaid
PA406973Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #