Active NPI
Louis R Roedersheimer, M.D.
- Vascular Surgery Physician
- Cincinnati, OH
National Provider Identifier
1528033206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35044670
- Practice address
- 3300 Mercy Health Blvd
Second Floor, Suite 2010
Cincinnati, OH 45211-1103 - Phone
- (513) 961-4335
- Fax
- (513) 961-4227
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35044670 | OH | |
| Vascular Surgery Physician | 2086S0129X | 35044670 | OH | Primary |
Addresses
Primary practice location
3300 Mercy Health Blvd
Second Floor, Suite 2010
Cincinnati, OH 45211-1103
Mailing address
3300 Mercy Health Blvd
Second Floor, Suite 2010
Cincinnati, OH 45211-1103
Phone (513) 961-4335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0432919 | Medicaid | OH |
Other names 1
- Dr. L Richard Roedersheimer
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35044670 | OH | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391817600000",
"number": "1528033206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 MERCY HEALTH BLVD",
"address_2": "SECOND FLOOR, SUITE 2010",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452111103",
"telephone_number": "513-961-4335",
"fax_number": "513-961-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MERCY HEALTH BLVD",
"address_2": "SECOND FLOOR, SUITE 2010",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452111103",
"telephone_number": "513-961-4335",
"fax_number": "513-961-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDERSHEIMER",
"first_name": "LOUIS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2014-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35044670",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OH",
"license": "35044670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0432919",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "L",
"last_name": "ROEDERSHEIMER",
"middle_name": "RICHARD",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.