Elizabeth Jane Rogers, M.D.
Individual provider Active NPI Emergency Medicine Physician · Nassawadox, VA
NPI 1215977830 · NPPES record last updated Feb 14, 2008
Key facts
- NPI
- 1215977830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0101044291 (VA)
- Practice address
- 9507 Hospital Avenue
Nassawadox, VA 23413 - Phone
- (757) 414-8000
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101044291 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101044291 | VA | Yes |
Addresses
Primary practice location
9507 Hospital Avenue
Nassawadox, VA 23413
Mailing address
PO Box 7549
Portsmouth, VA 23707-0549
Phone (757) 686-3515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10021311 | Other | VA | OPTIMA |
| P00233629 | Other | VA | RAILROAD MEDICARE |
Other providers in Nassawadox, VA
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services Inc
- Riverside Physician Services, Inc
- Jennifer Bell Ross
- Caz Louise Salvador
- David Randolph Scott
- Sentara Medical Group
- Sentara Medical Group
All providers in Nassawadox, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.