Charles Mitchell Rogers, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

162015-1205 Issued in UT

Practice address

4403 Harrison Blvd Ste 4640
Ogden, UT 84403-3304

Phone

(801) 387-4850

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1912906330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 E HOLLADAY FARM LN",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175773",
            "telephone_number": "801-232-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD STE 4640",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033304",
            "telephone_number": "801-387-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CHARLES",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "UT",
            "license": "162015-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roe RX Inc (dba Wangsgard Pharmacy)
• Roe RX Inc (Canyon View Health Mart Pharmacy)
• Hal R Roe, RPH
• Jordan Roe, PHARM.D.
• Giovanna Rene Roeseler, CM
• Christie Bunnell Rogers, DPT
• Daniel P Rogers
• John Rogerson, LCSW
• Mary Leslie Rohan, APRN-C
• Lyman Val Rollins, MD

• Allergy & Immunology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Allergy & Immunology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.