Individual provider Active NPI

Rose Marie Mohr, MD

  • Otolaryngic Allergy Physician
  • Westlake, OH
National Provider Identifier
1346222684
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
35036570M Issued in OH
Practice address
29101 Health Campus Dr
BLDG. 2, Ste 230
Westlake, OH 44145-5270
Phone
(440) 835-6105
Fax
(440) 835-6109
NPI assigned
Nov 14, 2005
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 35036570M OH Primary

Addresses

Primary practice location

29101 Health Campus Dr
BLDG. 2, Ste 230
Westlake, OH 44145-5270

Mailing address

29101 Health Campus Dr
BLDG. 2, Ste 230
Westlake, OH 44145-5270
Phone (440) 835-6105

Other identifiers 2

IdentifierTypeStateIssuer
0956201MedicaidOH
341869891OtherOHTAX ID

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

State licenses

LicenseStateTypeSpecialty
35036570MOHMDOtolaryngic Allergy Physician

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1346222684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "address_2": "BLDG. 2, STE 230",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-835-6105",
            "fax_number": "440-835-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HEALTH CAMPUS DR",
            "address_2": "BLDG. 2, STE 230",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455270",
            "telephone_number": "440-835-6105",
            "fax_number": "440-835-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "OH",
            "license": "35036570M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0956201",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "341869891",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.