MEDICARE: DR. RAYMOND WILLIAM ROZMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35-053697	OH
2	207RG0100X	Gastroenterology Physician	35053697	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265445530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND WILLIAM ROZMAN M.D.

Provider Business Mailing Address
First Line	:	20800 HARVARD RD
Second Line	:	2ND FLR
City	:	HIGHLAND HILLS
State	:	OH
Zip	:	44122-7251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8185 E WASHINGTON ST # 2
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44023-4574
Country	:	US
Telephone Number	:	216-708-1555
Fax Number	:	216-708-1515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	12/23/2020

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