Active NPI
George T Rogers, C.O.
- Orthotist
- Londonderry, NH
National Provider Identifier
1912193269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 25 Buttrick Rd BLDG B
Unit 4
Londonderry, NH 03053-3352 - Phone
- (603) 425-0106
- Fax
- (603) 226-0845
- NPI assigned
- Sep 20, 2007
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
25 Buttrick Rd BLDG B
Unit 4
Londonderry, NH 03053-3352
Mailing address
246 Pleasant Street
Suite 200
Concord, NH 03301-2548
Phone (603) 226-0106
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020504606 | Other | NH | CIGNA |
| 1209857Y0NH01 | Other | NH | ANTHEM |
| 143190000 | Medicaid | ME | |
| 30760132 | Medicaid | NH | |
| 1006572 | Medicaid | VT | |
| 7628001 | Other | NH | AETNA |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1912193269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 PLEASANT STREET",
"address_2": "SUITE 200",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012548",
"telephone_number": "603-226-0106",
"fax_number": "603-226-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BUTTRICK RD BLDG B",
"address_2": "UNIT 4",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533352",
"telephone_number": "603-425-0106",
"fax_number": "603-226-0845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "GEORGE",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "C.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "020504606",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1209857Y0NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143190000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30760132",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006572",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7628001",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.