Active NPI
Roger W Hamm, DPM
- Foot & Ankle Surgery Podiatrist
- Bellefontaine, OH
National Provider Identifier
1932151735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36.003384
- Practice address
- 1400 S Main St
Suite a&B
Bellefontaine, OH 43311-1581 - Phone
- (937) 592-1004
- Fax
- (937) 592-4005
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36.003384 | OH | Primary |
Addresses
Primary practice location
1400 S Main St
Suite a&B
Bellefontaine, OH 43311-1581
Mailing address
1400 S Main St
Suite a&B
Bellefontaine, OH 43311-1581
Phone (937) 592-1004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00627825 | Other | OH | RAILROAD |
| 2637865 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36.003384 | OH | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Medical Administration | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Podiatrist
- Cleveland, OH
- NPI 1669412201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1932151735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S MAIN ST",
"address_2": "SUITE A&B",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433111581",
"telephone_number": "937-592-1004",
"fax_number": "937-592-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S MAIN ST",
"address_2": "SUITE A&B",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433111581",
"telephone_number": "937-592-1004",
"fax_number": "937-592-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMM",
"first_name": "ROGER",
"middle_name": "W",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36.003384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00627825",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2637865",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.