Rogers and Davidson PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

FLME0056564 Issued in FL

Legal business name

ROGERS AND DAVIDSON PA

Practice address

4707 NW 53Rd Ave
Suite B
Gainesville, FL 32653-4805

Phone

(352) 337-9900

Fax

(352) 374-9259

NPI assigned

Oct 24, 2005

Organization subpart

No

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

Authorized official

Name

Kim M Davidson, MD

Title

Vice President

Phone

(352) 337-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1689664401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 NW 53RD AVE",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534805",
            "telephone_number": "352-337-9900",
            "fax_number": "352-374-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 NW 53RD AVE",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534805",
            "telephone_number": "352-337-9900",
            "fax_number": "352-374-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS AND DAVIDSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-337-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "FLME0056564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "21604A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Harry Rodstrom
• Kelsey E Roemer
• Yvonne Carol Rogalski, MA
• Roger T. Brill, MD,Facs,PA
• Rogers and Davidson PA
• Rogers and Davidson, PA
• Alicia Rogers
• Augusta Danielle Rogers, NP-C
• Brittany Rogers, MD
• Bruce J Rogers, MD

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.