Organization Active NPI

Roger Espinosa, M.D., LLC

  • Cardiovascular Disease Physician
  • Mentor, OH
National Provider Identifier
1023257268
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ROGER ESPINOSA, M.D., LLC
Practice address
9485 Mentor Ave Ste 103
Mentor, OH 44060-8722
Phone
(440) 354-7300
Fax
(440) 354-7301
NPI assigned
Feb 11, 2009
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Ms. Chris Wright
Title
Manager
Phone
(440) 354-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

9485 Mentor Ave Ste 103
Mentor, OH 44060-8722

Mailing address

PO Box 983
Mentor, OH 44061-0983
Phone (440) 354-7300

Other identifiers 1

IdentifierTypeStateIssuer
2949519MedicaidOH

National Provider Directory

National Provider Directory

Locations

9485 Mentor Ave
Ste 103
Mentor, OH 44060
Phone (440) 205-5799

9500 Mentor Ave
Ste 240
Mentor, OH 44060
Phone (440) 354-7300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1023257268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 983",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440610983",
            "telephone_number": "440-354-7300",
            "fax_number": "440-354-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE STE 103",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608722",
            "telephone_number": "440-354-7300",
            "fax_number": "440-354-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER ESPINOSA, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-354-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2949519",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.