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NPI Code Detail

MEDICARE: RACHEL RONG ROGOWSKI PA-C

MEDICARE: RACHEL RONG ROGOWSKI PA-C
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
1363A00000XPhysician Assistant50.009849RXOH

General Provider Information

NPI Number : 1700766201
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL RONG ROGOWSKI PA-C
Provider Business Mailing Address
First Line : 8076 COTSWOLD DR
Second Line :
City : MENTOR
State : OH
Zip : 44060-6077
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6780 MAYFIELD RD
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-2203
Country : US
Telephone Number : 440-449-8890
Fax Number : 440-449-7580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2025
Last Update Date : 04/06/2026

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