NPIMap

Individual provider Active NPI

Roxanne B Rogers, D.O.

  • Family Medicine Physician
  • Norwalk, OH
National Provider Identifier
1215225412
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34011516 Issued in OH
Practice address
348 Milan Ave
Suite 2
Norwalk, OH 44857-1173
Phone
(419) 668-4567
Fax
(419) 668-4568
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 34011516 OH Primary

Addresses

Primary practice location

348 Milan Ave
Suite 2
Norwalk, OH 44857-1173

Mailing address

1031 Pierce St
Suite D
Sandusky, OH 44870-4669
Phone (419) 557-5568

Other identifiers 1

IdentifierTypeStateIssuer
0110689MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006001975 OH Practitioner - Family Practice 6507086931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

101 S Washington St
Castalia, OH 44824-9295
Phone (419) 684-5369

300 Williams St
Huron, OH 44839-1648
Phone (419) 433-5222

703 Tyler St
Sandusky, OH 44870-3391

Hospital & facility affiliations

  • FRMC Home Health Services Home health agency, Sandusky, OH, CCN 367691
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065
  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34011516OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Sep 18, 2014 Accepting new patients
North Coast Professional Company, LLC Family Medicine CurrentSince Sep 18, 2014 Accepting new patients

Locations

300 Williams St
Huron, OH 44839
Phone (419) 433-5222

348 Milan Ave
Ste 2
Norwalk, OH 44857
Phone (419) 663-0285

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

1031 Pierce St
Ste D
Sandusky, OH 44870

Interoperability endpoints

  • Direct secure messaging: roxanne.rogers@fpg.medicity.net

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1215225412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE ST",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704669",
            "telephone_number": "419-557-5568",
            "fax_number": "419-557-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MILAN AVE",
            "address_2": "SUITE 2",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571173",
            "telephone_number": "419-668-4567",
            "fax_number": "419-668-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ROXANNE",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34011516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110689",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.