Individual provider Active NPI

Louis R Roedersheimer, M.D.

  • Vascular Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1528033206
Registry record updated Feb 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35044670 Issued in OH
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

Updated by the provider on Feb 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0432919MedicaidOH

Other names 1

  • Dr. L Richard Roedersheimer Other name

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

LicenseStateTypeSpecialty
35044670OHMDVascular 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.

Verify at the official NPI Registry.