Individual provider Active NPI

Roger M Traxel, M.D.

  • Otolaryngology Physician
  • Midland, TX
National Provider Identifier
1497975213
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E9443 Issued in TX
Practice address
2012 W Ohio Ave
Midland, TX 79701-5946
Phone
(432) 683-1856
Fax
(432) 683-7597
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X E9443 TX Primary

Addresses

Primary practice location

2012 W Ohio Ave
Midland, TX 79701-5946

Mailing address

2012 W Ohio Ave
Midland, TX 79701-5946
Phone (432) 683-1856

Other identifiers 1

IdentifierTypeStateIssuer
120195601MedicaidTX

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, Physician Assistant

Interoperability endpoints

  • Direct secure messaging: stu101@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1497975213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 W OHIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015946",
            "telephone_number": "432-683-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 W OHIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015946",
            "telephone_number": "432-683-1856",
            "fax_number": "432-683-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAXEL",
        "first_name": "ROGER",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "E9443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120195601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.