Marion Susan Rodgman, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

04-25143 Issued in KS

Practice address

3520 Lakin Ave
Suite 103
Great Bend, KS 67530-3660

Phone

(620) 792-3345

Fax

(620) 792-3767

NPI assigned

Mar 12, 2009

Last updated

Nov 3, 2009By the provider in NPPES

Sex

Female

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Kansas Medical Center

  dba St Joseph Family Medicine/Great Bend

  • Family Medicine Physician
  • Great Bend, KS
  • NPI 1467402040
  NPD (past)
• St. Joseph Memorial Hospital, Inc.

  dba St Joseph Family Medicine-Larned

  • Family Medicine Physician
  • Larned, KS
  • NPI 1326098914
  NPD (past)
• St. Joseph Memorial Hospital, Inc.

  dba St. Joseph Family Medicine - Larned

  • Rural Health Clinic/Center
  • Larned, KS
  • NPI 1710133269
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1649411158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675300969",
            "telephone_number": "620-786-6475",
            "fax_number": "620-786-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 LAKIN AVE",
            "address_2": "SUITE 103",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303660",
            "telephone_number": "620-792-3345",
            "fax_number": "620-792-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGMAN",
        "first_name": "MARION",
        "middle_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "04-25143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "1649411158",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100161240C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Rice
• Richard D. Krause, DPM, PA
• Richard L. Burkey, D.P.M., P.a.
• Rosa Gabriela Robles
• Graeme M. Rodgman, M.D.
• Kiersten Rogers, LMSW
• Justus Nicole Romine
• Rosenberg Dentistry: Joe Rosenberg DDS. PA
• Rosewood Services, Inc.
• Cody James Ruble, FIREFIGHTER/MEDIC

• General Practice Physician in Great Bend, KS
• Providers in Great Bend, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.