Mark T Rorrer, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34007087 Issued in OH

Practice address

3033 Kettering Blvd
Suite 100
Moraine, OH 45439-1962

Phone

(937) 293-2133

Fax

(937) 293-2161

NPI assigned

Jun 17, 2005

Last updated

Feb 5, 2013By 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 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dayton Pain Center LLC

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1790730638
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1932386059
  Medicare reassignment NPD
• Dayton Preventive Service

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1679686901
  NPD (past) Authorized official
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Boardman, OH
  • NPI 1053356162
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1346254281
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497700397
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1821101809
  NPD
• Medical Home Alliance LLC

  dba IMA Medical Group - South Lakeland

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1134896004
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Dayton Pain and Preventive Medicine

  • Pain Medicine Physician
  • Dayton, OH
  • NPI 1558478149
  NPD (past)
• Medical Home Alliance LLC

  dba IMA Winter Haven Dispensary

  • Non-Pharmacy Dispensing Site
  • Winter Haven, FL
  • NPI 1033648233
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1851396659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 GARNET DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454582141",
            "telephone_number": "937-272-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 KETTERING BLVD",
            "address_2": "SUITE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391962",
            "telephone_number": "937-293-2133",
            "fax_number": "937-293-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORRER",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007087",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142112",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2245421",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "0887136",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "9358391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Robinson
• Jason Roden
• Jennifer L Roll, LISW-S, LICDC
• Josie Roll, LSW
• Elizabeth Roode, MS, LPCC, CDCA
• Veronica Rose
• Ladonna J Ross, C.N.S.
• Rachel R Rossi, HS, QMHS
• Kristina A Rost-Mangan, MS, RN, CNP
• Sarah Mae Rotsinger-Stemen

• Family Medicine Physician in Moraine, OH
• Providers in Moraine, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.