Edwin William Rogers Jr., MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME38487 Issued in FL

Practice address

Community Health Northwest Florida
2315 W. Jackson St
Pensacola, FL 32505

Phone

(850) 436-4630

Fax

(850) 857-1747

NPI assigned

Jul 28, 2005

Reactivated

Feb 8, 2022

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1720088024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BAYSHORE DRIVE",
            "address_2": "UNIT 1300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325073470",
            "telephone_number": "850-572-1160",
            "fax_number": "850-434-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY HEALTH NORTHWEST FLORIDA",
            "address_2": "2315 W. JACKSON ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32505",
            "telephone_number": "850-436-4630",
            "fax_number": "850-857-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "EDWIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "deactivation_date": "2019-05-29",
        "reactivation_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME38487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margareta M Roes, PT
• Erick Michael Roff, D.O.
• Roger Henson MD
• Benjamin Rogers, LCSW
• Douglas Wayne Rogers
• Mark D Rogers, LMHC
• William Wallace Rogers III, DDS
• Stephen Rohl, DO
• Serena Rohrbeck, APRN
• Heather Hall Rohrer, MD

• Interventional Cardiology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.