Organization Active NPI

Suzanne Rogers, D.O., P.a.

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1376515254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M2056 Issued in TX
Legal business name
SUZANNE ROGERS, D.O., P.A.
Practice address
12174 N Mo Pac Expy
Suite a
Austin, TX 78758-2910
Phone
(512) 833-7334
Fax
(512) 833-7333
NPI assigned
Feb 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Suzanne Lawrence Rogers, D.O.
Title
Owner/Presidetn
Phone
(512) 833-7334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X M2056 TX Primary

Addresses

Primary practice location

12174 N Mo Pac Expy
Suite a
Austin, TX 78758-2910

Mailing address

12174 N Mo Pac Expy
Suite a
Austin, TX 78758-2910
Phone (512) 833-7334

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376515254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12174 N MO PAC EXPY",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582910",
            "telephone_number": "512-833-7334",
            "fax_number": "512-833-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12174 N MO PAC EXPY",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582910",
            "telephone_number": "512-833-7334",
            "fax_number": "512-833-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE ROGERS, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER/PRESIDETN",
        "authorized_official_telephone_number": "512-833-7334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.