Tom E Rodgers, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

50. 001967 Issued in OH

Practice address

410 W 10TH Ave
Columbus, OH 43210-1240

Phone

(614) 293-9701

Fax

(614) 293-3535

NPI assigned

Jun 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• West Michigan Cardiothoracic Surgeons PLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Grand Rapids, MI
  • NPI 1487626271
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1427219658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7513 MARSTON LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167028",
            "telephone_number": "614-873-2013",
            "fax_number": "614-873-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-9701",
            "fax_number": "614-293-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "TOM",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50. 001967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Marie Rodgers
• Kerrie Lynn Rodgers, CRNA
• Leon Edward Rodgers II
• Samantha Rodgers, LPC
• Shalom Moriah Marlowe Rodgers
• Jennifer Lin Rodis, PHARM.D.
• Thilani Manjula Rodrigo, DDS
• Medora Doris Rodrigues, MD
• Rahul Rodrigues
• Diana P Rodriguez Arenas, MD

• Surgical Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Surgical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.