Roger Rogalski MD CHTD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G71822 Issued in CA

Legal business name

ROGER ROGALSKI MD CHTD

Practice address

2169 South Ave
South Lake Tahoe, CA 96150-7059

Phone

(530) 544-1513

Fax

(530) 544-2359

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Roger Paul Rogalski, MD

Title

Pres Sec Etc

Phone

(775) 841-9991

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

Roger Rogalski MD CHTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roger Rogalski MD CHTD

  • Orthopaedic Surgery Physician
  • Gardnerville, NV
  • NPI 1588608913
  NPD tax ID

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1437193869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST",
            "address_2": "#105",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060177",
            "telephone_number": "775-841-9991",
            "fax_number": "775-841-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507059",
            "telephone_number": "530-544-1513",
            "fax_number": "530-544-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER ROGALSKI MD CHTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "ROGALSKI",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRES SEC ETC",
        "authorized_official_telephone_number": "775-841-9991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "6391",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G71822",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NV",
            "license": "6391",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G71822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF  MEDI-CAL ID",
            "identifier": "00G718220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Orthopaedic Surgery Physician in California

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