MEDICARE: ANDREW 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	208600000X	Surgery Physician	MD465277	PA
2	2086S0129X	Vascular Surgery Physician	MD465277	PA
3	2086S0129X	Vascular Surgery Physician	333115	NY
4	208600000X	Surgery Physician	333115	NY

General Provider Information

NPI Number	:	1710334628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW ROGERS MD

Provider Business Mailing Address
First Line	:	4730 SCHURR RD
Second Line	:
City	:	CLARENCE
State	:	NY
Zip	:	14031-2247
Country	:	US
Telephone Number	:	207-653-2823
Fax Number	:	207-569-6089

Provider Business Practice Location Address
First Line	:	4730 SCHURR RD
Second Line	:
City	:	CLARENCE
State	:	NY
Zip	:	14031-2247
Country	:	US
Telephone Number	:	207-653-2823
Fax Number	:

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

Provider Enumeration Date	:	05/20/2016
Last Update Date	:	04/23/2026

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