Active NPI
Douglas E. Romer, MD
- Family Medicine Physician
- Dayton, OH
National Provider Identifier
1104883073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-04-9202-R
- Practice address
- 6551 Centerville Business Pkwy Ste 100
Dayton, OH 45459-2696 - Phone
- (937) 291-6830
- Fax
- (937) 291-6893
- NPI assigned
- Apr 26, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-04-9202-R | OH | Primary |
Addresses
Primary practice location
6551 Centerville Business Pkwy Ste 100
Dayton, OH 45459-2696
Mailing address
25 Merchant Street
Suite 220 - Attn: Credentialing
Cincinnati, OH 45246-3740
Phone (513) 533-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0535844 | Medicaid | OH |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1104883073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MERCHANT STREET",
"address_2": "SUITE 220 - ATTN: CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463740",
"telephone_number": "513-533-1199",
"fax_number": "513-645-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 CENTERVILLE BUSINESS PKWY STE 100",
"city": "DAYTON",
"state": "OH",
"postal_code": "454592696",
"telephone_number": "937-291-6830",
"fax_number": "937-291-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMER",
"first_name": "DOUGLAS",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-04-9202-R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0535844",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.