Active NPI
Christopher David Rogers, DO
- Surgery Physician
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2016-01129
- Practice address
- 1177 N Road St
Elizabeth City, NC 27909-3388 - Phone
- (252) 337-9440
- Fax
- (252) 384-9997
- NPI assigned
- Jul 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1177 | ME | |
| Surgery Physician | 208600000X | 2016-01129 | NC | Primary |
Addresses
Primary practice location
1177 N Road St
Elizabeth City, NC 27909-3388
Mailing address
1177 N Road St
Elizabeth City, NC 27909-3388
Phone (252) 337-9440
Other practice location 1
195 Fore River Pkwy
Suite 420
Portland, ME 04102-2780
Phone (207) 553-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299810099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1177 | ME | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients | |
| Albemarle Physician Services- Sentara, Inc. | Current | Accepting new patients | |
| Albemarle Physician Services - Sentara, Inc | Surgery | Current | Accepting new patients |
| Portland Surgical Associates | Surgery | Current | Accepting new patients |
| Mercy Hospital | Past | Accepting new patients |
Locations
195 Fore River Pkwy
Ste 420
Portland, ME 04102
Phone (207) 553-6500
195 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6920
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460
1177 N Road St
Elizabeth City, NC 27909
Phone (252) 337-9440
1177 N Road St
Ste 420
Elizabeth City, NC 27909
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1942443130
NC, Surgery
-
dba Sentara Urgent Care
- Urgent Care Clinic/Center
- Kitty Hawk, NC
- NPI 1306202627
-
dba Sentara Critical Care Specialists
- Critical Care Medicine (Anesthesiology) Physician
- Elizabeth City, NC
- NPI 1851660260
-
- Surgery Physician
- Portland, ME
- NPI 1376591123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1922023597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093388",
"telephone_number": "252-337-9440",
"fax_number": "252-384-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093388",
"telephone_number": "252-337-9440",
"fax_number": "252-384-9997"
}
],
"practiceLocations": [
{
"address_1": "195 Fore River Pkwy",
"address_2": "Suite 420",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041022780",
"country_code": "US",
"telephone_number": "207-553-6500",
"fax_number": "207-553-6520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "1177",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2016-01129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299810099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.