Glenn Alvin Rogers, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35076945 Issued in OH

Practice address

12459 US 22 and 3
Sabina, OH 45169

Phone

(937) 584-2459

Fax

(937) 584-4941

NPI assigned

Oct 17, 2006

Last updated

Apr 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Professional Emergency Specialists of Southern Ohio

  • Emergency Medicine Physician
  • Wilmington, OH
  • NPI 1356329890
  NPD (past)
• Professional Emergency Specialists of Southern Ohio

  • Emergency Medicine Physician
  • Dayton, OH
  • NPI 1639157175
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1215017744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12459 US 22 AND 3",
            "city": "SABINA",
            "state": "OH",
            "postal_code": "45169",
            "telephone_number": "937-584-2459",
            "fax_number": "937-584-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12459 US 22 AND 3",
            "city": "SABINA",
            "state": "OH",
            "postal_code": "45169",
            "telephone_number": "937-584-2459",
            "fax_number": "937-584-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "GLENN",
        "middle_name": "ALVIN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35076945R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35076945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2198527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krysta Leigh Pirman, LPN
• Traci S Rawlings
• Haley Reynolds
• Richland Inc.
• Carolyn Ann Riddle, RN
• Jeremy Seabaugh, PT
• Noelle Elizabeth Singer, CNP
• Barbra Spaller
• SRWW Joint Fire District 2
• Lindsey Arlene Summers

• Family Medicine Physician in Sabina, OH
• Providers in Sabina, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.