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NPI Code Detail

MEDICARE: DR. JEFFREY S ROGERS DO

MEDICARE:  DR. JEFFREY S ROGERS  DO
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
1207L00000XAnesthesiology Physician34006038OH
2208VP0000XPain Medicine Physician34006038OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00629174OTHEROHRR MEDICARE
3050045417OTHEROHRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1770699829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY S ROGERS DO
Provider Business Mailing Address
First Line : PO BOX 713130
Second Line :
City : CINCINNATI
State : OH
Zip : 45271-0001
Country : US
Telephone Number : 937-415-9100
Fax Number : 937-415-9191
Provider Business Practice Location Address
First Line : 4160 LITTLE YORK ROAD
Second Line : SUITE 10
City : DAYTON
State : OH
Zip : 45414-5803
Country : US
Telephone Number : 937-415-9100
Fax Number : 937-415-9191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 10/06/2011

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Directions to “ DR. JEFFREY S ROGERS DO” Practice Location

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