Rodger E Fagerburg, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD019917E Issued in PA

Practice address

743 Jefferson Ave Ste 104
Scranton, PA 18510-1636

Phone

(570) 342-5253

Fax

(570) 342-6038

NPI assigned

Jul 4, 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 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215967294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE STE 104",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101636",
            "telephone_number": "570-342-5253",
            "fax_number": "570-342-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE STE 104",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101636",
            "telephone_number": "570-342-5253",
            "fax_number": "570-342-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGERBURG",
        "first_name": "RODGER",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD019917E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007992800003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Care Specialists, P.C.
• Gloria Eynon, PTA
• Michael Eynon, PT
• Brianne Ezman
• Maxine Fabrizio, MA
• Emily Fagerlin
• Emily Genevieve Fairchild, BA
• Noman Faisal, M.D
• David Falbo Jr., M.S., NCC, LPC
• Joseph Tyler Falbo, PHARMD

• Infectious Disease Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.