Tova Rogers MD Mfa PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TOVA ROGERS MD MFA PLLC

Practice address

1404 Bridge St
Charlevoix, MI 49720-2603

Phone

(231) 497-1272

Fax

(248) 780-6936

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tova Rogers, MDNPI 1356872246

Title

Owner

Phone

(248) 894-0196

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rogers Dermatology Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tova Rogers, MD

  • Dermatology Physician
  • Charlevoix, MI
  • NPI 1356872246
  Medicare reassignment NPD Authorized official
• Gina Marie O'Callaghan, PA-C

  • Physician Assistant
  • Portage, MI
  • NPI 1003239500
  Medicare reassignment

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1336865112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 BRIDGE ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497202603",
            "telephone_number": "248-894-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BRIDGE ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497202603",
            "telephone_number": "231-497-1272",
            "fax_number": "248-780-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOVA ROGERS MD MFA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TOVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-894-0196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4301504820",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@rogersdermatology.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted message",
            "address_1": "1404 Bridge St",
            "city": "Charlevoix",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497202603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rogers Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jean Swenor, OTR/L
• Thalia Ferenc LLC
• Thomas Dekorte
• Roderic E Tinney, M.D.
• Brendan Cedar Toton, MSW
• Jilaine Towne-Patton, LPC
• Adam John Tsaloff
• Mark Leroy Vanderweide, CRNA
• Stephanie L Vanniman, LMSW
• Sherri S Vazales, M.D.

• Dermatology Physician in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.