Active NPI
Timothy C Rogers, R.P.A.
- Radiology Practitioner Assistant
- Covington, LA
National Provider Identifier
1962781617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 10 LA 1402
- Practice address
- 23425 Highway 1084
Covington, LA 70435-6652 - Phone
- (985) 893-2006
- NPI assigned
- Aug 12, 2011
- Last updated
- Aug 12, 2011
- 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 |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 10 LA 1402 | WY | Primary |
Addresses
Primary practice location
23425 Highway 1084
Covington, LA 70435-6652
Mailing address
23425 Highway 1084
Covington, LA 70435-6652
Phone (985) 893-2006
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10 LA 1402 | WY | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1962781617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23425 HIGHWAY 1084",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704356652",
"telephone_number": "985-893-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23425 HIGHWAY 1084",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704356652",
"telephone_number": "985-893-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TIMOTHY",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "R.P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-12",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "WY",
"license": "10 LA 1402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.