Individual provider Active NPI

John Russell Roost, D.O.

  • Obstetrics & Gynecology Physician
  • Perrysburg, OH
National Provider Identifier
1083988877
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34012385 Issued in OH
Practice address
1021 Sandusky St
Suite E
Perrysburg, OH 43551-3120
Phone
(419) 872-3207
Fax
(419) 872-3237
NPI assigned
Feb 27, 2012
Last updated
Jul 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34012385 OH Primary

Addresses

Primary practice location

1021 Sandusky St
Suite E
Perrysburg, OH 43551-3120

Mailing address

2200 Jefferson Ave
5TH FL
Toledo, OH 43604-7101

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160915001346 OH Practitioner - Obstetrics/Gynecology 8224324355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 Jefferson Ave
FL 5
Toledo, OH 43604-7181

2200 Jeffeson Ave
5TH FL Attn S Futey
Toledo, OH 43604-7102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Jun 29, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jul 18, 2016 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jun 7, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jun 7, 2021 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Jun 29, 2022 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jul 18, 2016 Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

2702 Navarre Ave
Ste 305
Oregon, OH 43616
Phone (419) 691-8000

1021 Sandusky St
Ste E
Perrysburg, OH 43551
Phone (419) 872-3232

1103 Village Square Dr
Ste 101
Perrysburg, OH 43551
Phone (419) 872-3201

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: jroost59349@direct.bsmhealth.org

Organizations & group practices 9

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1083988877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "5TH FL",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST",
            "address_2": "SUITE E",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513120",
            "telephone_number": "419-872-3207",
            "fax_number": "419-872-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOST",
        "first_name": "JOHN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34012385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.