Healthcare Provider Details

I. General information

NPI: 1922158278
Provider Name (Legal Business Name): ANN M. ROGERS, MD & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 06/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 W MAIN ST SUITE 200
NEW ALBANY OH
43054-9224
US

IV. Provider business mailing address

153 W MAIN ST SUITE 200
NEW ALBANY OH
43054-9224
US

V. Phone/Fax

Practice location:
  • Phone: 614-939-2200
  • Fax: 614-939-2201
Mailing address:
  • Phone: 614-939-2200
  • Fax: 614-939-2201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35033858
License Number StateOH

VIII. Authorized Official

Name: BILLIE JO TAYLOR
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 614-939-1374