Individual provider Active NPI

William Joseph Rogers, CNP

  • Family Nurse Practitioner
  • Poland, OH
National Provider Identifier
1407203714
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRNCNP019749 Issued in OH
Practice address
715 E Western Reserve Rd
Poland, OH 44514-3358
Phone
(330) 726-3204
Fax
(330) 729-9316
NPI assigned
May 17, 2016
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRNCNP019749 OH Primary

Addresses

Primary practice location

715 E Western Reserve Rd
Poland, OH 44514-3358

Mailing address

715 E Western Reserve Rd
Poland, OH 44514-3358
Phone (330) 726-3204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180201002438 OH Practitioner - Nurse Practitioner 4183984636 Reassigns benefits to 2 organizations
I20190703001793 PA Practitioner - Nurse Practitioner 4183984636 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRNCNP019749OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group Inc. CurrentSince Apr 20, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 15, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince May 5, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 15, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince May 5, 2024 Accepting new patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Jul 26, 2023 Accepting new patients
Mercy Health Physicians Youngstown, LLC Past Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Past Accepting new patients
Sharon F Miller DO PC PastSince Aug 1, 2022 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1622 E Market St
Warren, OH 44483
Phone (330) 399-7215

627 Eastland Ave SE
Ste 301
Warren, OH 44484
Phone (330) 392-3099

1001 Belmont Ave
Youngstown, OH 44504
Phone (330) 747-1106

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1340 Belmont Ave
Ste 2200
Youngstown, OH 44504
Phone (330) 480-7350

715 E Western Reserve Rd
Youngstown, OH 44514
Phone (330) 726-3204

2501 Shenango Valley Fwy
Ste 3
Hermitage, PA 16148
Phone (724) 983-0223

949 N Hermitage Rd
Hermitage, PA 16148
Phone (330) 399-7215

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

Interoperability endpoints

  • Direct secure messaging: wrogers36382@direct.bsmhealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1407203714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E WESTERN RESERVE RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143358",
            "telephone_number": "330-726-3204",
            "fax_number": "330-729-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E WESTERN RESERVE RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143358",
            "telephone_number": "330-726-3204",
            "fax_number": "330-729-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-04-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP019749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

Verify at the official NPI Registry.