Healthcare Provider Details

I. General information

NPI: 1912913765
Provider Name (Legal Business Name): ELIZABETH C. RODGERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 DANIEL SHAYS HWY
BELCHERTOWN MA
01007-9882
US

IV. Provider business mailing address

40 WRIGHT ST
PALMER MA
01069-1138
US

V. Phone/Fax

Practice location:
  • Phone: 413-323-5118
  • Fax:
Mailing address:
  • Phone: 413-283-7651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number56245
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number56245
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: