BLAINE M ROGERS (NPI# 1164074688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164074688 |
| Entity Type | Individual |
| Full Name | BLAINE M ROGERS |
| Practice Address |
6200 Sylvan Ln Monona WI 53716-3835 |
| Practice Telephone | 6082347440 |
| Mailing Telephone | 6082347440 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
1031164 | WI | Other Service Providers |
| Street Address |
6200 SYLVAN LN |
| City | MONONA |
| State | WI |
| Zip Code | 53716-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508417007 | M Squared Nc LLC Dba Action Fence | Contractor | 5507 Red Oak Trl, Mc Farland, WI 53558-8411 | 2019-09-25 |
| 1770131492 | Timothy Brandt | Contractor | 524 S Albert Ave, Reedsburg, WI 53959-1827 | 2019-08-27 |
| 1104479955 | Lanita Dorwin | Contractor | W4794 County Road B, Durand, WI 54736-4614 | 2019-07-22 |
| 1306404165 | Teresa Konz | Contractor | N6085 State Road 32, Sheboygan Falls, WI 53085-2341 | 2019-06-05 |
| 1578129995 | Cale Armstrong | Contractor | S13009 Shifflet Rd, Spring Green, WI 53588-9696 | 2019-05-10 |
| 1346703980 | Dark Horse Creations LLC | Contractor | 901 North Ave, Madison, WI 53713-1209 | 2019-04-10 |
| 1124594700 | Mindy Leigh Hoppe | Contractor | 230936 Business Park Dr, Wausau, WI 54403-5840 | 2018-10-22 |
| 1760966162 | Jerry Michael Selner | Contractor | N2526 County Road B, Kewaunee, WI 54216-9695 | 2018-09-20 |
| 1902380504 | Stairgoddess, LLC | Contractor | 10 E College Ave Ste 116ab, Appleton, WI 54911-5756 | 2018-09-19 |
| 1003397720 | Chad Michael Stewart | Contractor | 7473 Pine Rd, Minocqua, WI 54548-9141 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.