Physician Compare National (NPI:1275616633)

HEALTHCARE PROVIDER: JAMES RICHARD ROGAN II 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	1275616633
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254598485
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120131000372
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROGAN
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Name Suffix Text	II
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8475 DAUBY LN
	Group Practice or individual's line 1 address
City	TELL CITY
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	475868346
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	151322
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PERRY COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y