Active NPI
Kathryn Anne Rohr, M.D.
- Orthopaedic Surgery Physician
- Edgecomb, ME
National Provider Identifier
1366549008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G35840
- Practice address
- 122 Merry Island Rd
Edgecomb, ME 04556-3418 - Phone
- (207) 633-0403
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | G35840 | CA | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | G35840 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | G35840 | CA | Primary |
Addresses
Primary practice location
122 Merry Island Rd
Edgecomb, ME 04556-3418
Mailing address
122 Merry Island Rd
Edgecomb, ME 04556-3418
Phone (207) 633-0403
Other practice location 1
561 Stewart St
Fort Bragg, CA 95437-3226
Phone (707) 964-0188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD21807 | Other | CA | MAINE MEDICAL LICENSE NUMBER |
| G35840 | Other | CA | CA MEDICAL LICENSE NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Empire Dermatology Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Santa Rosa, CA
- NPI 1154496248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366549008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 MERRY ISLAND RD",
"city": "EDGECOMB",
"state": "ME",
"postal_code": "045563418",
"telephone_number": "207-633-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 MERRY ISLAND RD",
"city": "EDGECOMB",
"state": "ME",
"postal_code": "045563418",
"telephone_number": "207-633-0403"
}
],
"practiceLocations": [
{
"address_1": "561 Stewart St",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "CA",
"postal_code": "954373226",
"country_code": "US",
"telephone_number": "707-964-0188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROHR",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CA",
"license": "G35840",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CA",
"license": "G35840",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G35840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE MEDICAL LICENSE NUMBER",
"identifier": "MD21807",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE NUMBER",
"identifier": "G35840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgecomb, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.