Active NPI
Dawn-Marie Althea Rogers, M.D.
- Internal Medicine Physician
- Hollywood, FL
National Provider Identifier
1902908874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME84942
- Practice address
- 4105 Pembroke Rd
Hollywood, FL 33021-8103 - Phone
- (954) 985-1551
- Fax
- (954) 985-1415
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME84942 | FL | Primary |
Addresses
Primary practice location
4105 Pembroke Rd
Hollywood, FL 33021-8103
Mailing address
4105 Pembroke Rd
Hollywood, FL 33021-8103
Phone (954) 985-1551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265318400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME84942 | FL | MD | Internal Medicine Physician |
Interoperability endpoints
- drogers6483@mhsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902908874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 PEMBROKE RD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218103",
"telephone_number": "954-985-1551",
"fax_number": "954-985-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 PEMBROKE RD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218103",
"telephone_number": "954-985-1551",
"fax_number": "954-985-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "DAWN-MARIE",
"middle_name": "ALTHEA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME84942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265318400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.