Organization Active NPI

Northern Ohio Family Practice, Inc.

  • Family Medicine Physician
  • Norwalk, OH
National Provider Identifier
1922106673
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHERN OHIO FAMILY PRACTICE, INC.
Practice address
257 Benedict Ave
Building C, Suite 1
Norwalk, OH 44857-2715
Phone
(419) 668-1101
Fax
(419) 668-1191
NPI assigned
Sep 20, 2006
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Dr. Rolland R Rogers, DONPI 1568457497
Title
President
Phone
(419) 668-1101

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

257 Benedict Ave
Building C, Suite 1
Norwalk, OH 44857-2715

Mailing address

257 Benedict Ave
Building C, Suite 1
Norwalk, OH 44857-2715
Phone (419) 668-1101

Other identifiers 1

IdentifierTypeStateIssuer
2447016MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000355 OH Part B Supplier - Clinic/Group Practice 7911802848 Receives reassigned benefits from 8 practitioners
Practice locations: Norwalk, 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
36D1007346Northern Ohio Family Practice, Inc257 Benedict Avenue BLDG C Suite 1, Norwalk, OH 44857Provider-performed microscopyDec 15, 2026

National Provider Directory

National Provider Directory

Locations

257 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1101

257 Benedict Ave
Ste C
Norwalk, OH 44857
Phone (419) 668-1101

257 Benedict Ave
Ste C1
Norwalk, OH 44857
Phone (419) 621-7620

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73146

Practitioners & affiliated clinicians

Practitioners 8

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1922106673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BENEDICT AVE",
            "address_2": "BUILDING C, SUITE 1",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572715",
            "telephone_number": "419-668-1101",
            "fax_number": "419-668-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 BENEDICT AVE",
            "address_2": "BUILDING C, SUITE 1",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572715",
            "telephone_number": "419-668-1101",
            "fax_number": "419-668-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OHIO FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ROLLAND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-668-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2447016",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.