John Mark Rogers, ATC, LAT

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

2601000827 Issued in MI

Practice address

4000 Whiting Dr
Midland, MI 48640-2398

Phone

(989) 837-5283

Fax

(989) 837-4813

NPI assigned

May 26, 2022

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)

Not enrolled

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.

• Northwood University Health Center

  • Urgent Care Clinic/Center
  • Midland, MI
  • NPI 1245661537
  NPD (past)

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1669110714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WHITING DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406634",
            "telephone_number": "989-837-5283",
            "fax_number": "989-837-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WHITING DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402398",
            "telephone_number": "989-837-5283",
            "fax_number": "989-837-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "MI",
            "license": "2601000827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Simon Rodnick, D.C.
• Paul Jonathan Rodnick, D.C.
• Efrain Efrainovich Rodriguez, MD
• Jayla Mariah-Joan Rodriguez
• Amy Roeder, RPH
• Schuyler Andrew Rogg, MD
• Brittany Rohde
• Nettie Rohde
• Marie Jane Rojo-Ingalla, PT,CBIS
• James G. Rollin

• Sports Medicine (Preventive Medicine) Physician in Midland, MI
• Providers in Midland, MI by specialty
• Sports Medicine (Preventive Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.