MEDICARE: HEIDI C ROGERS MD

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	207R00000X	Internal Medicine Physician	BP10050810	TX
2	207RR0500X	Rheumatology Physician	50083	KY

General Provider Information

NPI Number	:	1447660568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI C ROGERS MD

Provider Business Mailing Address
First Line	:	PO BOX 776351
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6351
Country	:	US
Telephone Number	:	502-588-9490
Fax Number	:	502-272-5116

Provider Business Practice Location Address
First Line	:	3991 DUTCHMANS LN STE 310
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4716
Country	:	US
Telephone Number	:	502-899-6061
Fax Number	:	502-899-6127

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

Provider Enumeration Date	:	04/28/2014
Last Update Date	:	01/31/2025

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Directions to “ HEIDI C ROGERS MD” Practice Location

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