Individual provider Active NPI

Scott T. Rogers, PA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1689927329
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4498 Issued in AZ
Practice address
641 W Warner Rd
Gilbert, AZ 85233-7266
Phone
(480) 722-9828
Fax
(480) 722-9831
NPI assigned
Oct 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4498 AZ Primary

Addresses

Primary practice location

641 W Warner Rd
Gilbert, AZ 85233-7266

Mailing address

641 W Warner Rd
Gilbert, AZ 85233-7266
Phone (480) 722-9828

Other identifiers 1

IdentifierTypeStateIssuer
558478MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119002615 AZ Practitioner - Physician Assistant 4385895366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians
Banner Urgent Care Arizona LLCGroup PAC ID 3678749496, 47 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

11685 W Van Buren St
Avondale, AZ 85323-6904
Phone (623) 465-6420

1215 S Higley Rd
Mesa, AZ 85206-3486
Phone (480) 827-5740

1660 N Higley Rd
Suite 104
Gilbert, AZ 85234-1615
Phone (480) 827-5600

1676 E McMurray Blvd
Suite 1
Casa Grande, AZ 85122-4798
Phone (520) 316-0688

1908 E McKellips Rd
Mesa, AZ 85203-2866
Phone (480) 827-5610

1955 W Guadalupe Rd
Suite 101 102
Mesa, AZ 85202-7487
Phone (480) 827-5620

2950 S Alma School Rd
Suite 1
Chandler, AZ 85286-8120
Phone (480) 827-5690

3126 S Higley Rd
Suite 109
Gilbert, AZ 85295-2030
Phone (480) 827-5780

3141 S McClintock Dr
Suite 1
Tempe, AZ 85282-5682
Phone (480) 827-5650

3160 E Queen Creek Rd
Gilbert, AZ 85297-8403
Phone (480) 827-5790

35945 N Gary Rd
San Tan Valley, AZ 85143-5748
Phone (480) 827-5750

40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002
Phone (480) 827-5760

4206 E Chandler Blvd
Suite 100
Phoenix, AZ 85048-8873
Phone (480) 827-5590

641 W Warner Rd
Gilbert, AZ 85233-7266
Phone (480) 827-5680

931 E Elliot Rd
Suite 115
Tempe, AZ 85284-1583
Phone (480) 827-5640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4498AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2016 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2016 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Aug 1, 2017 Accepting new patients
Emergency Professional Services PC Physician Assistant CurrentSince Sep 7, 2024 Accepting new patients
Emergency Professional Services PC Physician Assistant CurrentSince Sep 7, 2024 Accepting new patients

Locations (25 of 45)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

7611 W Cactus Rd
Peoria, AZ 85381
Phone (623) 242-0049

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1689927329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337266",
            "telephone_number": "480-722-9828",
            "fax_number": "480-722-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337266",
            "telephone_number": "480-722-9828",
            "fax_number": "480-722-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SCOTT",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558478",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.