Individual provider Active NPI

Kathryn Anne Rohr, M.D.

  • Orthopaedic Surgery Physician
  • Edgecomb, ME
National Provider Identifier
1366549008
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G35840 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MD21807OtherCAMAINE MEDICAL LICENSE NUMBER
G35840OtherCACA 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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.