Active NPI
David B Rogers, M.D.
- Orthopaedic Surgery Physician
- Bolivar, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- R9H97
- Practice address
- 1155 W. Parkview St.
Suite 2D
Bolivar, MO 65613-7800 - Phone
- (417) 777-2663
- Fax
- (417) 777-2666
- NPI assigned
- Nov 9, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R9H97 | MO | Primary |
Addresses
Primary practice location
1155 W. Parkview St.
Suite 2D
Bolivar, MO 65613-7800
Mailing address
1155 W. Parkview St.
Suite 2D
Bolivar, MO 65613-7800
Phone (417) 777-2663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202569430 | Medicaid | MO | |
| R9H97 | Other | MO | STATE LICENSE NUMBER |
| 200964600A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Tulane University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bolivar, MO 65613
Phone (417) 328-6631
1155 W Parkview
Bolivar, MO 65613-7800
1155 W Parkview St
Bolivar, MO 65613-7800
1500 N Oakland Ave
CMH Diabetes
Bolivar, MO 65613-3099
Phone (417) 328-6040
Hospital & facility affiliations
- Citizens Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9H97 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Orthopaedic Surgery | Current | Accepting new patients |
| Mercy Clinic Joplin LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1245 N Butterfield Rd
Bolivar, MO 65613
Phone (417) 326-6000
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
1155 W Parkview St
Ste 2D
Bolivar, MO 65613
Phone (417) 777-2663
855 Arduser Dr
Osceola, MO 64776
Phone (417) 646-5075
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivar, MO
- NPI 1003981549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1790766558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 W. PARKVIEW ST.",
"address_2": "SUITE 2D",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656137800",
"telephone_number": "417-777-2663",
"fax_number": "417-777-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 W. PARKVIEW ST.",
"address_2": "SUITE 2D",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656137800",
"telephone_number": "417-777-2663",
"fax_number": "417-777-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "R9H97",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202569430",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "R9H97",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200964600A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.