Healthcare Provider Details

I. General information

NPI: 1811285083
Provider Name (Legal Business Name): BENJAMIN JOSEPH ROGOZINSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 OLD WEISGARBER RD
KNOXVILLE TN
37909-1293
US

IV. Provider business mailing address

1422 OLD WEISGARBER RD
KNOXVILLE TN
37909-1293
US

V. Phone/Fax

Practice location:
  • Phone: 865-558-4400
  • Fax: 865-558-4421
Mailing address:
  • Phone: 865-558-4400
  • Fax: 865-558-4421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number57636
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number01078356A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: