Individual
DAVID W ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 N SENATE BLVD, SUITE 230, INDIANAPOLIS, IN 46202-1252
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200300696
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01066423A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200300696
NC
207RP1001X
Pulmonary Disease Physician
01066423
IN
207RP1001X
Pulmonary Disease Physician
200300696
NC
208000000X
Pediatrics Physician
200300696
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000620990
ANTHEM PIN
IN
05
—
200951910
—
IN
05
—
29134FP
—
NC
05
—
89134FP
—
NC
Enumeration date
03/25/2006
Last updated
03/05/2025
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