Wayne Glenn Rogers, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

6924 Issued in SC

Practice address

3B Cleveland CT
Greenville, SC 29607-2414

Phone

(864) 232-0196

Fax

(864) 351-0373

NPI assigned

May 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rogers Dermatology, PA

  • Procedural Dermatology Physician
  • Greenville, SC
  • NPI 1912950775
  Medicare reassignment NPD
• Rogers Dermatology, P.a.

  • Specialist
  • Greenville, SC
  • NPI 1598923807
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1659323111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3B CLEVELAND CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072414",
            "telephone_number": "864-232-0196",
            "fax_number": "864-351-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3B CLEVELAND CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072414",
            "telephone_number": "864-232-0196",
            "fax_number": "864-351-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "WAYNE",
        "middle_name": "GLENN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "6924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0198",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Marshall Rogers, M.D.
• Sandra Jo Rogers, MSP, CCC-SLP
• Sara Rogers
• Stephen W Rogers, COTA
• Ulysses F Rogers, CAC II
• Frederick D Rogoff, MD
• Sarah May Rohrig, MD
• Francisco Javier Rojo I, FNP-BC
• Julie E Rokala, CRNA
• Sarah Jungmee Rolfe, NP

• Dermatology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.