Individual provider Active NPI

William B Rogers III, MD

  • Plastic Surgery Physician
  • Ashland, KY
National Provider Identifier
1861580946
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
29561 Issued in KY
Practice address
617 23Rd St Ste 105
Ashland, KY 41101-2890
Phone
(606) 408-7500
Fax
(606) 408-6600
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 29561 KY Primary

Addresses

Primary practice location

617 23Rd St Ste 105
Ashland, KY 41101-2890

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 324-7146

Other identifiers 5

IdentifierTypeStateIssuer
64295611MedicaidKY
1554301MedicaidOH
3810018837MedicaidWV
P00885634OtherKYRR MEDICARE
0331617MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20101110000400 KY Practitioner - Plastic and Reconstructive Surgery 9032304522 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 1, 2010 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation CurrentSince Aug 23, 2014 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 1, 2010 Accepting new patients
Ashland Hospital Corporation CurrentSince Aug 23, 2014 Accepting new patients

Locations

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

617 23rd St
Ste 5
Ashland, KY 41101
Phone (606) 324-7146

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

617 23rd St
Ste 105
Ashland, KY 41101
Phone (606) 408-7500

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

613 23rd St
Ste 420
Ashland, KY 41101
Phone (606) 324-2600

2201 Lexington Ave
Ste 215
Ashland, KY 41101

617 23rd St
Ste 215
Ashland, KY 41101
Phone (606) 408-1260

613 23rd St
Ashland, KY 41101
Phone (606) 408-5864

Interoperability endpoints

  • Direct secure messaging: brogers9514@direct.kdhealth.us

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1861580946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-324-7146",
            "fax_number": "606-324-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST STE 105",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012890",
            "telephone_number": "606-408-7500",
            "fax_number": "606-408-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KY",
            "license": "29561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64295611",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1554301",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018837",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00885634",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.