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Dr. Elizabeth Ann Roseberry , MD

General Practice β€’ Marion, OH

Active NPI 1609879196 Individual Practitioner Female Practitioner
Practice location in NPPES

1446 Eagle Pass Dr
Marion, OH 433028138

Call 7403823511 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1446 Eagle Pass Dr

Marion, OH 433028138

Telephone 7403823511
Fax 7403820682

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Marion and Ohio

2 active clinicians are listed under General Practice with a practice address in Marion, OH (282 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-28
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES OH 35079875

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 35.079875

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 - Neonatal-Perinatal Medicine

NUCC Taxonomy Code: 2080N0001X

License # reported to NPPES OH 35.079875

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Medical License
17120 (WV)
Other Identifier State License
10702 (ND)
Other Identifier Medical License
H0774 (TX)
Other Identifier Medical License
0101045048 (VA)
Other Identifier Medical License
35079875 (OH)
Other Identifier Medical License
43579 (CO)
Other Identifier Medical License
M9182 (ID)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2026

Pediatrics (license number reported to NPPES: OH 35.079875)

βœ…
NPI Profile Active May 10, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 10, 2009

Registered at 1446 EAGLE PASS DR, MARION, OH 433028138 (Tel: 7403823511)

πŸ“
Business Mailing Address (Initial Record) May 10, 2009

Registered at 1446 EAGLE PASS DR, MARION, OH 433028138 (Tel: 7403823511)

πŸ‘€
Provider Name / Credentials (Initial Record) May 10, 2009

Recorded as ELIZABETH ROSEBERRY, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2009

Pediatrics (license number reported to NPPES: OH 35079875)

🟒
Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609879196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: September 28, 2026
Sole Proprietor: Yes

Mailing Address

1446 Eagle Pass Dr

Marion, OH 433028138

Phone: 7403823511

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.