Roger S Koerner, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0032452 Issued in FL

Practice address

210 Jupiter Lakes Blvd
Suite 106, BLDG 3000
Jupiter, FL 33458-7191

Phone

(561) 401-9082

Fax

(561) 401-9251

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1134201874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "SUITE 106, BLDG 3000",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-401-9082",
            "fax_number": "561-401-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "SUITE 106, BLDG 3000",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-401-9082",
            "fax_number": "561-401-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "ROGER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0032452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP PROVIDER NUM",
            "identifier": "99485",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIV PROVIDER NUM",
            "identifier": "50860",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Predrag Knez, MD
• Tatiana Knez, MD
• Billy Ray Knight Jr., RN
• Knobbe Designs, Inc.
• Jill Koenig, PT
• Kim Edward Koger, M.D.
• Kohler Group, LLC
• Mary Kohler
• Sofia Noohani Kohn, PA-C
• Mitchell Kolker, M.D.

• Gastroenterology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.