Roger W. Davis, MD, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

30919 Issued in CO

Legal business name

ROGER W. DAVIS, MD, LLC

Practice address

511 W 29TH St
Suite B
Pueblo, CO 81008-1128

Phone

(719) 543-9202

Fax

(719) 543-9204

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Roger W DavisNPI 1124058094

Title

Owner

Phone

(719) 543-9202

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Roger W Davis, MD

  • Orthopaedic Surgery Physician
  • Pueblo, CO
  • NPI 1124058094
  NPD (past) Authorized official

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1124274949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W 29TH ST",
            "address_2": "SUITE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081128",
            "telephone_number": "719-543-9202",
            "fax_number": "719-543-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 29TH ST",
            "address_2": "SUITE B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081128",
            "telephone_number": "719-543-9202",
            "fax_number": "719-543-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER W. DAVIS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-543-9202"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "30919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38529343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Rodriguez, PA-C
• Maria A Rodriguez, PH.D.
• Melanie Rodriguez
• Angela Rodriquez
• Jamie K Roemer, MD
• Haley Kristine Rogers, PT, DPT
• Morgin Kelsey Rogers, MT
• Toni Rohr
• Teresa Romaine
• Alex Anthony Romero, M.D.

• Orthopaedic Surgery Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Orthopaedic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.