Organization Active NPI

Roman Family Healthcare

  • Family Medicine Physician
  • Greenfield, OH
National Provider Identifier
1821654674
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROMAN FAMILY HEALTHCARE
Practice address
1440 State Route 28 W
Greenfield, OH 45123-8424
Phone
(937) 981-2880
NPI assigned
May 17, 2019
Last updated
May 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Authorized official

Name
Charley Roman, NPNPI 1063968469
Title
Owner
Phone
(614) 706-5206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X

Addresses

Primary practice location

1440 State Route 28 W
Greenfield, OH 45123-8424

Mailing address

1440 State Route 28 W
Greenfield, OH 45123-8424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191024000618 OH Part B Supplier - Clinic/Group Practice 2264764273 Receives reassigned benefits from 3 practitioners
Practice locations: Greenfield, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2174231Roman Family Healthcare1440 State Route 28 W, Greenfield, OH 45123Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

Locations

1440 State Route 28 W
Greenfield, OH 45123
Phone (937) 981-2880

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1821654674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 STATE ROUTE 28 W",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451238424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 STATE ROUTE 28 W",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451238424",
            "telephone_number": "937-981-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "CHARLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-706-5206",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.