Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35-054280 | OH |
NPI | 1023037496 |
---|---|
Provider Name | Roger G Wilber |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 27/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000212967 | UNISON (01) | OH |
000000503681 | ANTHEM (01) | |
0315564 | (05) | OH |
0658824 | AETNA (01) | OH |
364134 | WELLCARE (01) | OH |
738115 | BUCKEYE (01) | OH |
G35929 | (02) | |
P00011019 | RAILROAD MEDICARE (01) | OH |
P00372969 | RAILROAD MEDICARE (01) | OH |