Active NPI
Jeffrey Scott Rohr, D.O.
- Ophthalmology Physician
- Grand Blanc, MI
National Provider Identifier
1952331696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 5101012835
- Practice address
- 2240 E Hill Rd
D
Grand Blanc, MI 48439-5420 - Phone
- (810) 579-0202
- Fax
- (810) 579-0204
- NPI assigned
- Jul 4, 2006
- Last updated
- Nov 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5101012835 | MI | |
| Ophthalmology Physician | 207W00000X | 5101012835 | MI | Primary |
Addresses
Primary practice location
2240 E Hill Rd
D
Grand Blanc, MI 48439-5420
Mailing address
2240 E Hill Rd
D
Grand Blanc, MI 48439-5420
Phone (810) 579-0202
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383540274 | Other | MI | PPOM |
| 1852511004 | Other | MI | BLUE CROSS/ BLUE SHIELD |
| 07225 | Other | MI | MCARE |
| 0988842 | Other | MI | HEALTHPLUS |
| 4256288 | Medicaid | MI |
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
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1952331696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 E HILL RD",
"address_2": "D",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484395420",
"telephone_number": "810-579-0202",
"fax_number": "810-579-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 E HILL RD",
"address_2": "D",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484395420",
"telephone_number": "810-579-0202",
"fax_number": "810-579-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHR",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "5101012835",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "5101012835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "383540274",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "1852511004",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "07225",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "0988842",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4256288",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.