Active NPI
James R. Roe, PA
- Surgical Physician Assistant
- Elyria, OH
National Provider Identifier
1013987932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 50.001995
- Practice address
- Emh Regional Medical Center
630 East River St.
Elyria, OH 44035 - Phone
- (440) 329-7500
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50.001995 | OH | Primary |
Addresses
Primary practice location
Emh Regional Medical Center
630 East River St.
Elyria, OH 44035
Mailing address
Emh Regional Medical Center
630 East River St.
Elyria, OH 44035
Phone (440) 329-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00350758 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1013987932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EMH REGIONAL MEDICAL CENTER",
"address_2": "630 EAST RIVER ST.",
"city": "ELYRIA",
"state": "OH",
"postal_code": "44035",
"telephone_number": "440-329-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMH REGIONAL MEDICAL CENTER",
"address_2": "630 EAST RIVER ST.",
"city": "ELYRIA",
"state": "OH",
"postal_code": "44035",
"telephone_number": "440-329-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "JAMES",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.001995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00350758",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.