Individual provider Active NPI

Roger J Rohr, D.O.

  • Diagnostic Radiology Physician
  • Flint, MI
National Provider Identifier
1649212143
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101006056 Issued in MI
Practice address
2222 S Linden Rd
Suite R
Flint, MI 48532-5475
Phone
(810) 733-2769
Fax
(810) 733-2830
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101006056 MI Primary

Addresses

Primary practice location

2222 S Linden Rd
Suite R
Flint, MI 48532-5475

Mailing address

2222 S Linden Rd
Suite R
Flint, MI 48532-5475
Phone (810) 733-2769

Other identifiers 1

IdentifierTypeStateIssuer
3321261MedicaidMI

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mdo Imaging Associates PLC Diagnostic Radiology 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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1649212143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE R",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-733-2769",
            "fax_number": "810-733-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE R",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-733-2769",
            "fax_number": "810-733-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHR",
        "first_name": "ROGER",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101006056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3321261",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.