Individual provider Active NPI

Jorge Raul Romero, MD

  • Obstetrics & Gynecology Physician
  • North Canton, OH
National Provider Identifier
1477584381
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35063466 Issued in OH
Practice address
6555 Frank Ave NW
North Canton, OH 44720-7265
Phone
(330) 966-9090
Fax
(330) 966-9030
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35063466 OH Primary

Addresses

Primary practice location

6555 Frank Ave NW
North Canton, OH 44720-7265

Mailing address

6659 Frank Ave NW
North Canton, OH 44720-7259
Phone (330) 966-9090

Other practice location 1

4901 Dawn Dr Ste 3200
Lumberton, NC 28360-8288
Phone (910) 735-8040

Other identifiers 7

IdentifierTypeStateIssuer
0644474OtherAETNA
87497OtherQUALCHOICE
160040923OtherRAILROAD MEDICARE
000000137196OtherOHANTHEM BLUE CROSS BLUE SH
0876020MedicaidOH
3892966OtherCIGNA HEALTHCARE
0026486OtherCHAMPUS CHAMP VA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jromero1469622@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100524000475 OH Practitioner - Obstetrics/Gynecology 6103955513 Reassigns benefits to 1 organization
I20251101000387 NC Practitioner - Obstetrics/Gynecology 6103955513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

4901 Dawn Dr
Suite 3200
Lumberton, NC 28360-8288
Phone (910) 735-8040

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34143NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Obstetrics & Gynecology CurrentSince Oct 6, 2025 Accepting new patients
Stark Pain Management CurrentSince Mar 13, 2024 Accepting new patients
Ohio Physician Professional Corporation CurrentSince Aug 1, 2010 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

4901 Dawn Dr
Ste 3200
Lumberton, NC 28360
Phone (910) 735-8040

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242

6659 Frank Ave NW
North Canton, OH 44720
Phone (330) 623-7100

Interoperability endpoints

  • Direct secure messaging: jorge.romero.1@19221.direct.athenahealth.com
  • Direct secure messaging: jromero1469622@direct.unc.nchie.net

Organizations & group practices 4

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 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1477584381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207259",
            "telephone_number": "330-966-9090",
            "fax_number": "330-966-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207265",
            "telephone_number": "330-966-9090",
            "fax_number": "330-966-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Dawn Dr Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283608288",
            "country_code": "US",
            "telephone_number": "910-735-8040",
            "fax_number": "910-735-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JORGE",
        "middle_name": "RAUL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35063466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0644474",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "87497",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160040923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000137196",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0876020",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "3892966",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS CHAMP VA",
            "identifier": "0026486",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jromero1469622@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4901 Dawn Dr Ste 3200",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283608288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.