Rogers Surgical PLLC
Organization Active NPI Surgery Physician · Elko, NV
NPI 1104526342 · NPPES record last updated Aug 19, 2023
Key facts
- NPI
- 1104526342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ROGERS SURGICAL PLLC
- Practice address
- 2102 Idaho Street
Elko, NV 89801 - Phone
- (775) 389-5777
- NPI assigned
- Mar 7, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew P Rogers, MD
- Title
- Manager
- Phone
- (214) 458-9132
Practitioners 3
-
Chelsey Blythe, PA-C
-
Michael Blythe, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230515001991 | NV | Part B Supplier - Clinic/Group Practice | 9335505593 |
Receives reassigned benefits from 3 practitioners Practice locations: Elko, NV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
2102 Idaho Street
Elko, NV 89801
Mailing address
6838 Empire Cliff St
North Las Vegas, NV 89084-2583
Phone (214) 458-9132
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992064323 | Medicaid | NV |
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.