George W Rozakis, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35-05-5038 Issued in OH

Practice address

29111 Center Ridge Rd
Westlake, OH 44145-5222

Phone

(440) 777-2667

Fax

(440) 835-2266

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fountain Anti-Aging

  dba xRMD

  • Ophthalmology Physician
  • Lakewood, OH
  • NPI 1154834562
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1023004983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 BEACH RD",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071018",
            "telephone_number": "440-777-2667",
            "fax_number": "440-835-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29111 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455222",
            "telephone_number": "440-777-2667",
            "fax_number": "440-835-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZAKIS",
        "first_name": "GEORGE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-05-5038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655189",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devyn Rothmann, RBT
• Maria Roufaeil, MD
• Holly Routenberg
• Chaity Roy, AA
• Santina Royal
• Anthony J Rozzo, D.O.
• Lisa M Ruman, LISW
• Colleen K. Russell, C.N.P.
• Jessica L Russell, OTR/L
• Alessia Russo, MS,RD,LD

• Ophthalmology Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.