Roger A Mansnerus, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35044597 Issued in OH

Practice address

850 Columbia Rd
Ste 150
Westlake, OH 44145-1493

Phone

(440) 250-5737

Fax

(440) 250-5738

NPI assigned

Aug 11, 2005

Last updated

Jun 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakewood Hospital Association

  • Family Medicine Physician
  • Lakewood, OH
  • NPI 1205933512

  Internal Medicine

  NPD (past)
• Lakewood Hospital Association

  dba Lakewood Hospital

  • Pharmacy
  • Lakewood, OH
  • NPI 1386089670
  NPD (past)
• University Hospitals Cleveland Medical Center

  dba Bolwell Health Center Pharmacy

  • Community/Retail Pharmacy
  • Cleveland, OH
  • NPI 1952488108
  NPD (past)
• Westshore Primary Care Assoc., Inc.

  • Internal Medicine Physician
  • Westlake, OH
  • NPI 1154599504
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1659373538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD",
            "address_2": "STE 150",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451493",
            "telephone_number": "440-250-5737",
            "fax_number": "440-250-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD",
            "address_2": "STE 150",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451493",
            "telephone_number": "440-250-5737",
            "fax_number": "440-250-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSNERUS",
        "first_name": "ROGER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35044597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "377322",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHP",
            "identifier": "743124",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE",
            "identifier": "P00360277",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000501421",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0517131",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341542312148",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARE",
            "identifier": "P00705952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manrodt Psychiatry, LLC.
• Kristen Manrodt, PMHNP-BC
• Tiffany Manrodt, LISW
• Emma Rose Mansell
• Hannah Mansell, LPCC
• Mansoor Ahmed (Integrated Health Service MGMT)
• Ruolei Mao, MSN, APRN, FNP-C
• Marc Glassman Inc (Marcs)
• Jessica Marcis
• Hannah Marek

• Internal Medicine Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.