Organization Active NPI

Gwen Roesel MD LLC

  • Medical Specialty Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1649420258
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
35.090806 Issued in OH
Legal business name
GWEN ROESEL MD LLC
Practice address
9435 Waterstone Blvd
Suite 140
Cincinnati, OH 45249-8226
Phone
(513) 271-2862
Fax
(513) 271-0619
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Dr. Gwen C Roesel, MD
Title
President
Phone
(513) 271-2862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 35.090806 OH Primary

Addresses

Primary practice location

9435 Waterstone Blvd
Suite 140
Cincinnati, OH 45249-8226

Mailing address

9435 Waterstone Blvd
Suite 140
Cincinnati, OH 45249-8226
Phone (513) 271-2862

National Provider Directory

National Provider Directory

Locations

4460 Red Bank Rd
Ste 124
Cincinnati, OH 45227
Phone (513) 271-0619

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1649420258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 WATERSTONE BLVD",
            "address_2": "SUITE 140",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452498226",
            "telephone_number": "513-271-2862",
            "fax_number": "513-271-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 WATERSTONE BLVD",
            "address_2": "SUITE 140",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452498226",
            "telephone_number": "513-271-2862",
            "fax_number": "513-271-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN ROESEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "ROESEL",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-271-2862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35.090806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 10, 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.