Organization Active NPI

Stephen E. Rogers, MB.CHB.,LLC

  • Pain Medicine (Anesthesiology) Physician
  • Savannah, GA
National Provider Identifier
1285918805
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
026180 Issued in GA
Legal business name
STEPHEN E. ROGERS, MB.CHB.,LLC
Practice address
4700 Waters Ave
Suite 109
Savannah, GA 31404-6220
Phone
(912) 224-4874
Fax
(912) 350-0774
NPI assigned
Sep 30, 2011
Last updated
Sep 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Stephen E Rogers, MB CHBNPI 1780675413
Title
Member/Manager
Phone
(912) 224-4874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 026180 GA Primary

Addresses

Primary practice location

4700 Waters Ave
Suite 109
Savannah, GA 31404-6220

Mailing address

PO Box 13548
Savannah, GA 31416-0548
Phone (912) 224-4874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111209000300 GA Part B Supplier - Clinic/Group Practice 1153596747 Receives reassigned benefits from 3 practitioners
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

4700 Waters Ave
Ste 109
Savannah, GA 31404
Phone (912) 224-4874

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1285918805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13548",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160548",
            "telephone_number": "912-224-4874",
            "fax_number": "912-350-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "address_2": "SUITE 109",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-224-4874",
            "fax_number": "912-350-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E. ROGERS, MB.CHB.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "912-224-4874",
        "authorized_official_credential": "MB CHB"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "026180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.