NPIMap

Organization Active NPI

Roger F. Classen, D.O., Inc.

  • Surgery Physician
  • Warrensville Heights, OH
National Provider Identifier
1720108137
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34-00-2162 Issued in OH
Legal business name
ROGER F. CLASSEN, D.O., INC.
Practice address
4100 Warrensville Center Rd
Suite #101
Warrensville Heights, OH 44122-7024
Phone
(216) 561-0111
Fax
(216) 561-0113
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Roger F. Classen, D.O.
Title
Physician
Phone
(216) 561-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 34-00-2162 OH Primary

Addresses

Primary practice location

4100 Warrensville Center Rd
Suite #101
Warrensville Heights, OH 44122-7024

Mailing address

4100 Warrensville Center Rd
Suite #101
Warrensville Heights, OH 44122-7024
Phone (216) 561-0111

Other identifiers 2

IdentifierTypeStateIssuer
9175381OtherOHMEDICARE PTAN GROUP
0335140MedicaidOH

National Provider Directory

National Provider Directory

Locations

4100 Warrensville Center Rd
#R
Cleveland, OH 44122
Phone (216) 491-7362

4100 Warrensville Center Rd
Ste 101
Warrensville Heights, OH 44122
Phone (216) 561-0111

Practitioners & affiliated clinicians

Practitioners 2

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1720108137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WARRENSVILLE CENTER RD",
            "address_2": "SUITE #101",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-561-0111",
            "fax_number": "216-561-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WARRENSVILLE CENTER RD",
            "address_2": "SUITE #101",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-561-0111",
            "fax_number": "216-561-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER F. CLASSEN, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "CLASSEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "216-561-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "34-00-2162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP",
            "identifier": "9175381",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.