Organization Active NPI

Peter T Roemer MD

  • Primary Care Clinic/Center
  • Mansfield, OH
National Provider Identifier
1669799458
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35037658 Issued in OH
Legal business name
PETER T ROEMER MD
Practice address
120 Sturges Ave
Mansfield, OH 44903-2399
Phone
(419) 522-2026
Fax
(419) 526-2439
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Ms. Kathi Schroemer
Title
Office Manager
Phone
(419) 522-2026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35037658 OH Primary

Addresses

Primary practice location

120 Sturges Ave
Mansfield, OH 44903-2399

Mailing address

120 Sturges Ave
Mansfield, OH 44903-2399
Phone (419) 522-2026

Other identifiers 1

IdentifierTypeStateIssuer
0302587MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1669799458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STURGES AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032399",
            "telephone_number": "419-522-2026",
            "fax_number": "419-526-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STURGES AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032399",
            "telephone_number": "419-522-2026",
            "fax_number": "419-526-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T ROEMER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "SCHROEMER",
        "authorized_official_first_name": "KATHI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-522-2026",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35037658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302587",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.