Individual provider Active NPI

Christopher David Rogers, DO

  • Surgery Physician
  • Elizabeth City, NC
National Provider Identifier
1922023597
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2016-01129 Issued in NC
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

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
299810099MedicaidME

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160721002766 NC Practitioner - General Surgery 3870581390 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1177MEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince Jun 27, 2016 Accepting new patients
Albemarle Physician Services- Sentara, Inc. CurrentSince Jun 27, 2016 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.

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

Verify at the official NPI Registry.