Active NPI
Thomas A Roesch, M.D
- Pediatrics Physician
- Mason, OH
National Provider Identifier
1952364424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 067322
- Practice address
- 5386 Cox Smith Rd
Suite a
Mason, OH 45040-9289 - Phone
- (513) 770-3466
- Fax
- (513) 770-3467
- NPI assigned
- Apr 7, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 067322 | OH | Primary |
Addresses
Primary practice location
5386 Cox Smith Rd
Suite a
Mason, OH 45040-9289
Mailing address
5386 Cox Smith Rd
Suite a
Mason, OH 45040-9289
Phone (513) 770-3466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122987 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067322 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1952364424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5386 COX SMITH RD",
"address_2": "SUITE A",
"city": "MASON",
"state": "OH",
"postal_code": "450409289",
"telephone_number": "513-770-3466",
"fax_number": "513-770-3467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5386 COX SMITH RD",
"address_2": "SUITE A",
"city": "MASON",
"state": "OH",
"postal_code": "450409289",
"telephone_number": "513-770-3466",
"fax_number": "513-770-3467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESCH",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "067322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122987",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.