MEDICARE: ROGER WARD DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	34-008449	OH
2	207Q00000X	Family Medicine Physician	34.008449	OH
3	2083X0100X	Occupational Medicine Physician	34.008449	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083694723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROGER WARD DO

Provider Business Mailing Address
First Line	:	2951 MAPLE AVE
Second Line	:	MOB II GARDEN LEVEL - CVO
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2861
Country	:	US
Telephone Number	:	740-450-6147
Fax Number	:	740-450-6157

Provider Business Practice Location Address
First Line	:	2800 MAPLE AVE
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-1716
Country	:	US
Telephone Number	:	740-454-4585
Fax Number	:	740-454-4008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	01/10/2025

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Directions to “ ROGER WARD DO” Practice Location

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