John Anthony Roffers, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

30078-020 Issued in WI

Practice address

2025 E Newport Ave
Milwaukee, WI 53211-2906

Phone

(414) 961-4161

Fax

(414) 967-1778

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1861449035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W RIVER WOODS PKWY",
            "address_2": "STE 240",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121010",
            "telephone_number": "414-327-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E NEWPORT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112906",
            "telephone_number": "414-961-4161",
            "fax_number": "414-967-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFERS",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "30078-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110027424",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31485100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Roeseler, L.AC.
• Paige Elizabeth Roesser, RD, CD
• Ronald D Roessler, MD
• Norman Michael Roets, PHARMACIST
• Rofaith Transportation Services LLC
• Kevin Rogacki, MD
• Aaron L Rogaczewski, M.D.
• Crystal Elaine Rogahn, COTA
• Lorna M Rogahn, MS
• Amanda Jean Rogers, M.D.

• Physical Medicine & Rehabilitation Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.