Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790979920 Individual Practitioner Female Practitioner

Dr. Mary Sun Roh , MD

Pediatrics • Centennial, CO

Professional Overview & Biography Verified Profile Summary

Dr. Mary Roh, MD is a registered healthcare professional specializing in Pediatrics in Centennial, CO. Practice services are available at 15492 E PRENTICE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15492 E Prentice Dr

Centennial, CO 800154267

Telephone 8174227155

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Centennial, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
52 Specialists

Practicing in Centennial, CO (1195 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX M4930

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA G58214

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CO DR0052245

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

1400 S Main St

Fort Worth, TX 761044909

Phone: 8177021307

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1619920675

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2018

Pediatrics (License #M4930 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #G58214 in CA)

NPI Profile Active January 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2018

Registered at 15492 E PRENTICE DR, CENTENNIAL, CO 800154267 (Tel: 8174227155)

📍
Updated Business Mailing Address January 20, 2018

Registered at 15492 E PRENTICE DR, CENTENNIAL, CO 800154267 (Tel: 8174227155)

👤
Provider Name / Credentials Updated January 20, 2018

Recorded as MARY ROH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2018

Pediatrics (License #G58214 in CA)

NPI Profile Active November 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2010

Registered at 1400 S MAIN ST, FORT WORTH, TX 761044909 (Tel: 8177021307)

📍
Updated Business Mailing Address November 12, 2010

Registered at 503 PRESTON CT, SOUTHLAKE, TX 760928626 (Tel: 8174216252)

👤
Provider Name / Credentials Updated November 12, 2010

Recorded as MARY ROH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2010

Pediatrics (License #M4930 in TX)

🟢
Initial NPI Registration & Enumeration August 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790979920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2007
Last Update: June 16, 2018
Sole Proprietor: Yes

Mailing Address

15492 E Prentice Dr

Centennial, CO 800154267

Phone: 8174227155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.