Organization Active NPI

Cynthia Rogers MD PA

Doing business as The Dermatology & Skin Cancer Center of Treasure Coast

  • Dermatology Physician
  • Port St Lucie, FL
National Provider Identifier
1356549695
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME93551 Issued in FL
Legal business name
CYNTHIA ROGERS MD PA
Doing business as
The Dermatology & Skin Cancer Center of Treasure Coast
Practice address
8503 S US Highway 1 Ste 9
Port St Lucie, FL 34952-3346
Phone
(772) 398-3376
Fax
(772) 807-8788
NPI assigned
Jul 9, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Cynthia Jenkins Rogers, MDNPI 1205885506
Title
President
Phone
(772) 398-3376

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
Dermatology Physician 207N00000X ME93551 FL Primary

Addresses

Primary practice location

8503 S US Highway 1 Ste 9
Port St Lucie, FL 34952-3346

Mailing address

8503 S US Highway 1 Ste 9
Port St Lucie, FL 34952-3346
Phone (772) 398-3376

Other names 1

  • THE DERMATOLOGY & SKIN CANCER CENTER OF TREASURE COAST Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071105000339 FL Part B Supplier - Clinic/Group Practice 7416044680 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1084550Cynthia Rogers MD PA8503 S US 1 Ste 9, Port Saint Lucie, FL 34952ComplianceAug 10, 2026

National Provider Directory

National Provider Directory

Locations

8503 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 398-3376

8503 S US Highway 1
Ste 9
Port St Lucie, FL 34952
Phone (772) 398-3376

2065 S Kanner Hwy
Stuart, FL 34994
Phone (772) 286-0677

Practitioners & affiliated clinicians

Practitioners 4

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": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356549695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 S US HIGHWAY 1 STE 9",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "772-398-3376",
            "fax_number": "772-807-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 S US HIGHWAY 1 STE 9",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "772-398-3376",
            "fax_number": "772-807-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA ROGERS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JENKINS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-398-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME93551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DERMATOLOGY & SKIN CANCER CENTER OF TREASURE COAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.