Roger Alderson, MD,PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

C7239 Issued in AR

Legal business name

ROGER ALDERSON, MD,PA

Doing business as

Plastic Surgery Clinic of Northwest Arkansas

Practice address

2 Halsted Cir
Rogers, AR 72756-3184

Phone

(479) 636-4325

Fax

(479) 636-4329

NPI assigned

Jul 19, 2009

Last updated

Jul 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger Willis Alderson, MDNPI 1518922046

Title

President of Roger Alderson MD,PA

Phone

(479) 636-4325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plastic Surgery Clinic of Northwest Arkansas Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Willis Alderson, MD

  • Specialist
  • Cabot, AR
  • NPI 1518922046
  NPD (past) Authorized official

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

{
    "created_epoch": "1247961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247961600000",
    "number": "1275763732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HALSTED CIR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563184",
            "telephone_number": "479-636-4325",
            "fax_number": "479-636-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HALSTED CIR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563184",
            "telephone_number": "479-636-4325",
            "fax_number": "479-636-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER ALDERSON, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-19",
        "last_updated": "2009-07-19",
        "status": "A",
        "authorized_official_last_name": "ALDERSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "PRESIDENT OF ROGER ALDERSON MD,PA",
        "authorized_official_telephone_number": "479-636-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AR",
            "license": "C7239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142651002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Clinic of Northwest Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Estelle Rochelle, MPAS
• Cynthia Rodriguez
• Nicholas John Casey Rodriguez, AG-ACNP
• Collin Roe, ADC, BS
• Tasha Roe
• Rogers Ar Ophthalmology ASC LLC (Boozman-Hof Eye Surgery & Laser Center)
• Rogers Back to Health Chiropractic (Back to Health Chiropractic)
• Rogers Back to Health Chiropractic
• Rogers Counseling Services, Inc. (Cyndie Lyon, L.C.S.W.)
• Rogers Dental Associates,PLLC

• Plastic Surgery Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Plastic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2009; 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.