Healthcare Provider Details

I. General information

NPI: 1922503143
Provider Name (Legal Business Name): ASHLEY EMILY ROGERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

4401 PENN AVE
PITTSBURGH PA
15224-1334
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-7563
  • Fax: 202-444-7204
Mailing address:
  • Phone: 716-713-8283
  • Fax: 716-713-8283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD485340
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: