Individual provider Active NPI

Lauren Rose Rogel, PA-C

  • Physician Assistant
  • Alliance, OH
National Provider Identifier
1043596588
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-003382 Issued in OH
Practice address
270 E. State St.
Ste. 240
Alliance, OH 44601-4369
Phone
(330) 596-6560
Fax
(330) 596-6575
NPI assigned
Oct 28, 2011
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3382 OH
Physician Assistant 363A00000X 50-003382 OH Primary

Addresses

Primary practice location

270 E. State St.
Ste. 240
Alliance, OH 44601-4369

Mailing address

270 E. State St.
Ste. 240
Alliance, OH 44601-4369
Phone (330) 596-6560

Other identifiers 1

IdentifierTypeStateIssuer
0122854MedicaidOH

Other names 1

  • Lauren Rose Brickwood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402001588 OH Practitioner - Physician Assistant 8426289554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3382OHMDOccupational Therapist
50-003382OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orrville Hospital Foundation CurrentSince Dec 23, 2023 Accepting new patients
Orrville Hospital Foundation CurrentSince Dec 23, 2023 Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Alliance Family Health Center, Inc Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients

Locations

270 E State St
Ste 240
Alliance, OH 44601
Phone (330) 596-6560

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: lauren.rogel@direct.aultman.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1043596588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E. STATE ST.",
            "address_2": "STE. 240",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014369",
            "telephone_number": "330-596-6560",
            "fax_number": "330-596-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E. STATE ST.",
            "address_2": "STE. 240",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014369",
            "telephone_number": "330-596-6560",
            "fax_number": "330-596-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGEL",
        "first_name": "LAUREN",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "3382",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-003382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122854",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BRICKWOOD",
            "middle_name": "ROSE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.