Kenneth A Rogers Jr., MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

7794 Issued in OK

Practice address

3435 NW 56TH
Suite 711a
Oklahoma City, OK 73112

Phone

(405) 945-4222

Fax

(405) 945-4322

NPI assigned

Sep 25, 2006

Last updated

Jul 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Northwest Otolaryngology

  • Otolaryngology Physician
  • Oklahoma City, OK
  • NPI 1649371923
  NPD (past)
• Richard D. Orgill, M.D., P.C.

  • Otolaryngology Physician
  • Oklahoma City, OK
  • NPI 1457451692
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1477653855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH",
            "address_2": "SUITE 711A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-945-4222",
            "fax_number": "405-945-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH",
            "address_2": "SUITE 711A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-945-4222",
            "fax_number": "405-945-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "7794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "040004090",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212110A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Eyvonne Rogers, PH.D.
• Jennifer Nicole Rogers
• John R Rogers, MD
• Johnnie Willene Rogers, LPN
• Kendall Rogers
• Kevin D Rogers, LPC
• Latonyia Yvette Rogers
• Paula J Rogers, MD
• Rachel Rogers
• Regina Rogers

• Otolaryngology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Otolaryngology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.