Active NPI
Patricia Jo Rodgers, D.O.
- Family Medicine Physician
- Colonial Heights, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 102203617
- Practice address
- 524 Southpark Blvd
Colonial Heights, VA 23834-3609 - Phone
- (517) 887-1713
- Fax
- (517) 887-9277
- NPI assigned
- Jul 18, 2006
- Last updated
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 102203617 | VA | Primary |
Addresses
Primary practice location
524 Southpark Blvd
Colonial Heights, VA 23834-3609
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (804) 504-7980
Other practice location 1
6350 Hull Street Rd.
Richmond, VA 23224-2636
Phone (804) 674-3425 ext. 74755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4995 Westone Plaza
N VA Carenow Urgent Care
Chantilly, VA 20151-2294
Phone (571) 441-3980
6100 Harbourside Centre Loop
Midlothian, VA 23112-2170
Phone (804) 639-7555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102203617 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Virginia Holding, LLC | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Family Medicine | Current | Accepting new patients |
| Northern Virginia Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
3456 Historic Sully Way
Chantilly, VA 20151
Phone (703) 435-3838
4995 Westone Plz
Chantilly, VA 20151
Phone (571) 441-3980
524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
12006 Kilarney Dr
Fredericksburg, VA 22407
Phone (540) 786-9273
6100 Harbourside Centre Loop
Midlothian, VA 23112
Phone (804) 639-7555
3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143
6530 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425
6550 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425
46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087
5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
dba Jencare Senior Medical Centers of Virginia
- Specialist
- Miami Gardens, FL
- NPI 1083167001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1073531604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "804-504-7980",
"fax_number": "804-504-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 SOUTHPARK BLVD",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238343609",
"telephone_number": "517-887-1713",
"fax_number": "517-887-9277"
}
],
"practiceLocations": [
{
"address_1": "6350 Hull Street Rd.",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232242636",
"country_code": "US",
"telephone_number": "804-674-3425 x74755",
"fax_number": "804-674-3435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODGERS",
"first_name": "PATRICIA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "102203617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.