NPI Code Detail JSON Logo

1437107349 NPI number — PAUL WESLEY ROGERS JR. MD

NPI Number: 1437107349
Health Care Provider/Practitioner: PAUL WESLEY ROGERS JR. MD

Information about “1437107349” NPI (PAUL WESLEY ROGERS JR. MD) exists in 1437107349 in HTML format HTML  |  1437107349 in plain Text format TXT  |  1437107349 in PDF (Portable Document Format) PDF  |  1437107349 in an XML format XML  formats.

NPI Number : 1437107349 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437107349",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROGERS",
    "FirstName": "PAUL",
    "MiddleName": "WESLEY",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROGERS",
    "OtherFirstName": "PAUL",
    "OtherMiddleName": "WESLEY",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": "JR.",
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1232 W 28TH PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PANAMA CITY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32405-3404",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-215-6303",
    "MailingAddressFaxNumber": "850-215-6304",
    "FirstLinePracticeLocationAddress": "1232 W 28TH PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PANAMA CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32405-3404",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-215-6303",
    "PracticeLocationAddressFaxNumber": "850-215-6304",
    "EnumerationDate": "05/04/2006",
    "LastUpdateDate": "05/20/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": "00017686",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.