MEDICARE: MR. JORGE RAUL ROMERO MD

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	207V00000X	Obstetrics & Gynecology Physician	35063466	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	160040923	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0644474	OTHER		AETNA
2	87497	OTHER		QUALCHOICE
4	000000137196	OTHER	OH	ANTHEM BLUE CROSS BLUE SH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	3892966	OTHER		CIGNA HEALTHCARE
7	0026486	OTHER		CHAMPUS CHAMP VA

General Provider Information

NPI Number	:	1477584381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JORGE RAUL ROMERO MD

Provider Business Mailing Address
First Line	:	6659 FRANK AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7259
Country	:	US
Telephone Number	:	330-966-9090
Fax Number	:	330-966-9030

Provider Business Practice Location Address
First Line	:	6555 FRANK AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7265
Country	:	US
Telephone Number	:	330-966-9090
Fax Number	:	330-966-9030

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	11/18/2025

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Directions to “ MR. JORGE RAUL ROMERO MD” Practice Location

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