Healthcare Provider Details

I. General information

NPI: 1346227063
Provider Name (Legal Business Name): RICHARD ALLEN ROGERS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 OLD JONESTOWN RD
HARRISBURG PA
17112-2607
US

IV. Provider business mailing address

6100 OLD JONESTOWN RD
HARRISBURG PA
17112-2607
US

V. Phone/Fax

Practice location:
  • Phone: 717-541-0988
  • Fax: 717-412-4882
Mailing address:
  • Phone: 717-541-0988
  • Fax: 717-412-4882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC002775L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: