MEDICARE: DR. JAMES E ROGERS D.P.M.

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	213E00000X	Podiatrist		TN

General Provider Information

NPI Number	:	1881651370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES E ROGERS D.P.M.

Provider Business Mailing Address
First Line	:	1912 CHARLOTTE AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2107
Country	:	US
Telephone Number	:	615-329-4888
Fax Number	:	615-329-0701

Provider Business Practice Location Address
First Line	:	1912 CHARLOTTE AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2107
Country	:	US
Telephone Number	:	615-329-4888
Fax Number	:	615-329-0701

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	07/08/2007

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