Active NPI
Arlen Jeffery Rollins, D.O.
- Family Medicine Physician
- Bedford, OH
National Provider Identifier
1952483463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-002264
- Practice address
- 50 Blaine Ave
Suite 2300, Bedford Medical Center
Bedford, OH 44146 - Phone
- (440) 232-0061
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-002264 | OH | Primary |
Addresses
Primary practice location
50 Blaine Ave
Suite 2300, Bedford Medical Center
Bedford, OH 44146
Mailing address
25866 Fairmount Blvd
Beachwood, OH 44122-2214
Phone (216) 292-6263
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4384 | AZ | MD | Clinical Neuropsychologist |
| 34-002264 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952483463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25866 FAIRMOUNT BLVD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441222214",
"telephone_number": "216-292-6263",
"fax_number": "216-292-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BLAINE AVE",
"address_2": "SUITE 2300, BEDFORD MEDICAL CENTER",
"city": "BEDFORD",
"state": "OH",
"postal_code": "44146",
"telephone_number": "440-232-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "ARLEN",
"middle_name": "JEFFERY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-002264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.