Physician Compare National (NPI:1124203583)

HEALTHCARE PROVIDER: NICHOLAS ANDREW ROGERS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124203583
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618128778
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121119000438
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROGERS
	Individual professional last name
Provider First Name	NICHOLAS
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5832 S VERMONT AVE
	Group Practice or individual's line 1 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900443712
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y