Organization Active NPI

John a. Roffers, M.D., S.C.

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
National Provider Identifier
1275580656
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
JOHN A. ROFFERS, M.D., S.C.
Practice address
2015 E Newport Ave
Milwaukee, WI 53211-2984
Phone
(414) 961-4161
Fax
(414) 967-1778
NPI assigned
May 30, 2006
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Elizabeth Roffers
Title
Secretary
Phone
(414) 961-4161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2015 E Newport Ave
Milwaukee, WI 53211-2984

Mailing address

2015 E Newport Ave
Milwaukee, WI 53211-2984
Phone (414) 961-4161

National Provider Directory

National Provider Directory

Locations

525 W River Woods Pkwy
Ste 240
Glendale, WI 53212
Phone (414) 807-6128

575 W River Woods Pkwy
Ste 207
Glendale, WI 53212
Phone (414) 961-4161

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1275580656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-961-4161",
            "fax_number": "414-967-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-961-4161",
            "fax_number": "414-967-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. ROFFERS, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "ROFFERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "414-961-4161"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.