MEDICARE: DR. RODGER C SEARFOSS 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	174400000X	Specialist	MD017315E	PA

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	:	1558367466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODGER C SEARFOSS M.D.

Provider Business Mailing Address
First Line	:	325 OLD AIRPORT RD
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601
Country	:	US
Telephone Number	:	724-836-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 LIGONIER ST
Second Line	:	STE 003
City	:	LATROBE
State	:	PA
Zip	:	15650-1805
Country	:	US
Telephone Number	:	724-537-5594
Fax Number	:	724-537-9712

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	07/09/2007

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