Organization Active NPI

D. Debra Rogers, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1063668085
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J4485 Issued in TX
Legal business name
D. DEBRA ROGERS, M.D., P.A.
Practice address
315 N San Saba
#1180
San Antonio, TX 78207-3154
Phone
(210) 270-7800
Fax
(210) 270-7803
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Michael Sullivan
Title
Reimbursement Coordinator
Phone
(210) 863-3195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X J4485 TX Primary

Addresses

Primary practice location

315 N San Saba
#1180
San Antonio, TX 78207-3154

Mailing address

PO Box 701306
San Antonio, TX 78270-1306
Phone (210) 270-7800

Other identifiers 2

IdentifierTypeStateIssuer
174322101MedicaidTX
J4485OtherTXLICENSE

National Provider Directory

National Provider Directory

Locations

315 N San Saba
Ste 1180
San Antonio, TX 78207
Phone (210) 270-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1063668085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782701306",
            "telephone_number": "210-270-7800",
            "fax_number": "210-270-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA",
            "address_2": "#1180",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073154",
            "telephone_number": "210-270-7800",
            "fax_number": "210-270-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. DEBRA ROGERS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REIMBURSEMENT COORDINATOR",
        "authorized_official_telephone_number": "210-863-3195"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J4485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174322101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "J4485",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.