Individual provider Active NPI

William D Rogers, MD

  • Orthopaedic Surgery Physician
  • Augusta, ME
National Provider Identifier
1760458129
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
012428 Issued in ME
Practice address
15 Enterprise Dr
Ste 100
Augusta, ME 04330-7894
Phone
(207) 621-8700
Fax
(207) 621-8701
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 012428 ME Primary
Orthopaedic Hand Surgery Physician 207XS0106X MD12428 ME

Addresses

Primary practice location

15 Enterprise Dr
Ste 100
Augusta, ME 04330-7894

Mailing address

15 Enterprise Dr
Ste 100
Augusta, ME 04330-7894
Phone (207) 621-8700

Other identifiers 1

IdentifierTypeStateIssuer
310850099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000135 ME Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8123000437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012428MEMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Nov 1, 2013 Accepting new patients

Locations

11 Caldwell Rd
Augusta, ME 04330
Phone (207) 623-7710

15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500

15 Enterprise Dr
Ste 100
Augusta, ME 04330
Phone (207) 621-7500

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

107 First Park Dr
Oakland, ME 04963
Phone (207) 621-8700

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 1

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1760458129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ENTERPRISE DR",
            "address_2": "STE 100",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307894",
            "telephone_number": "207-621-8700",
            "fax_number": "207-621-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ENTERPRISE DR",
            "address_2": "STE 100",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307894",
            "telephone_number": "207-621-8700",
            "fax_number": "207-621-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "012428",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ME",
            "license": "MD12428",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310850099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.