Healthcare Provider Details

I. General information

NPI: 1023243698
Provider Name (Legal Business Name): JESSICA LEE KARP DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA LEE ROGERS DO

II. Dates (important events)

Enumeration Date: 05/26/2009
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7740 WASHINGTON VILLAGE DR STE 160
CENTERVILLE OH
45459-3994
US

IV. Provider business mailing address

1 PRESTIGE PL
MIAMISBURG OH
45342-3794
US

V. Phone/Fax

Practice location:
  • Phone: 937-436-9825
  • Fax: 937-433-6508
Mailing address:
  • Phone: 937-762-1310
  • Fax: 937-522-8068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberOS14382
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberOS14382
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number34.016853
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: