Active NPI
Robert K Rogers, CRNA
- Certified Registered Nurse Anesthetist
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R850408
- Practice address
- 830 South Gloster
Tupelo, MS 38801 - Phone
- (662) 377-4394
- Fax
- (662) 377-7045
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R850408 | MS | Primary |
Addresses
Primary practice location
830 South Gloster
Tupelo, MS 38801
Mailing address
PO Box 3294
Tupelo, MS 38803-3294
Phone (662) 377-4394
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07901531 | Medicaid | MS | |
| 009936472 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 232-8100
1105 Earl Frye Blvd
Amory, MS 38821-5500
Hospital & facility affiliations
- North Mississippi Medical Center-Gilmore Amory
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R850408 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay County Medical Corporation | Current | Accepting new patients | |
| Clay County Medical Corporation | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Tupelo Anesthesia Group PA | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Marion Regional Medical Center, Inc. | Current | Accepting new patients | |
| DHS Anesthesia, LLC | Current | Accepting new patients | |
| Clay County Medical Corporation | Current | Accepting new patients | |
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Marion Regional Medical Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Marion Regional Medical Center, Inc | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Eastern Panhandle Anesthesia Associates | Past | Accepting new patients |
Locations
1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061
634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393
589 Garfield St
Tupelo, MS 38801
Phone (601) 680-5565
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321
Interoperability endpoints
- robertrogers@nmhs.medalliesdirect.net
Organizations & group practices 17
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.
-
- Anesthesiology Physician
- Amory, MS
- NPI 1619559309
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
MS, Nurse Anesthetist, Certified Registered
-
- Emergency Care Clinic/Center
- West Point, MS
- NPI 1578670972
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1184147431
-
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
-
- General Acute Care Hospital
- Hamilton, AL
- NPI 1932160082
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
MS, Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- West Point, MS
- NPI 1174353247
-
- Anesthesiology Physician
- West Point, MS
- NPI 1396852695
-
- Surgery Physician
- Amory, MS
- NPI 1386433860
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amory, MS
- NPI 1164993457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1720005200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3294",
"city": "TUPELO",
"state": "MS",
"postal_code": "388033294",
"telephone_number": "662-377-4394",
"fax_number": "662-377-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 SOUTH GLOSTER",
"city": "TUPELO",
"state": "MS",
"postal_code": "38801",
"telephone_number": "662-377-4394",
"fax_number": "662-377-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ROBERT",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R850408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07901531",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009936472",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.