MR. SCOTT ALLEN ROGERS (NPI# 1265492946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265492946 |
| Entity Type | Individual |
| Full Name | MR. SCOTT ALLEN ROGERS |
| Credential | PA-C |
| Practice Address |
5325 Elliott Dr Suite 102 Ypsilanti MI 48197-8633 |
| Mailing Address |
1845 Ridgewood Cir Saline MI 48176-8838 |
| Practice Telephone | 7347125500 |
| Practice Fax Number | 7347128209 |
| Mailing Telephone | 7349445320 |
| Mailing Fax Number | 7347128209 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601002002 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821046418 | Scott F Rogers | Podiatrist | 120 N 1220 E, #12, American Fork, UT 84003-2089 | 2006-05-05 |
| 1952304495 | Scott W Rogers | Dentist | 106 Washington Ave, Pleasantville, NY 10570-2854 | 2005-05-28 |
| 1598249724 | Scott Rogers | Respiratory Therapist, Certified | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2018-09-24 |
| 1578044699 | Scott David Rogers | Counselor | 270 W 14th St, San Pedro, CA 90731-4315 | 2018-08-27 |
| 1629408141 | Scott Erwin Rogers Jr. | Case Manager/Care Coordinator | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2013-11-19 |
| 1689927329 | Scott T. Rogers | Physician Assistant | 641 W Warner Rd, Gilbert, AZ 85233-7266 | 2012-10-18 |
| 1902124084 | Scott William Rogers | Orthopaedic Surgery | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2010-05-13 |
| 1316172257 | Scott Rogers | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2009-05-21 |
| 1568606424 | Scott Andrew Rogers | Hearing Instrument Specialist | 701 Paluxy Rd, Granbury, TX 76048-2355 | 2009-04-22 |
| 1952567471 | Scott David Rogers | Dentist | 7023 Miami Ave, Cincinnati, OH 45243-2636 | 2008-08-04 |
| Street Address |
5325 ELLIOTT DR SUITE 102 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237387 | Susan R. Illikman | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2005-07-05 |
| 1710533799 | Catherine I Giles | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2019-08-14 |
| 1083102214 | Christine Glowacki | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2018-04-24 |
| 1619488384 | Elizabeth H Stalder | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197 | 2017-10-20 |
| 1609312420 | Terri Lynn Trombley | Registered Nurse | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2017-01-18 |
| 1235685041 | Diana Rego | Nurse Practitioner | 5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8633 | 2016-08-31 |
| 1184170524 | Cristina Hauncher | Dietitian, Registered | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-26 |
| 1629524194 | Zachary Ryan York | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-25 |
| 1225583362 | Kathleen Ritzert | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-18 |
| 1902359094 | St Joseph Mercy Hospital | Clinic/Center | 5325 Elliott Dr, Sutie 105, Ypsilanti, MI 48197-8633 | 2016-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1902868482 | Magda S. Vincens | Physician Assistant | 5323 Elliott Dr, Suite #102, Ypsilanti, MI 48197-8632 | 2006-04-03 |
| 1639733587 | Bailey Nichole Scheich | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-04-25 |
| 1306329776 | Castyn Williams | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2018-09-12 |
| 1023509981 | Samuel John Muench | Physician Assistant | 5315 Elliott Dr Ste 102, Ypsilanti, MI 48197-8634 | 2018-05-25 |
| 1891012746 | Leslie Ann Crowley | Physician Assistant | 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 | 2010-04-30 |
| 1245563089 | Lindsey Erin Eckel | Physician Assistant | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2009-09-11 |
| 1861566010 | Thomas Norbert Nalley | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2006-11-20 |
| 1003870460 | Daniel Patrick Defer | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2006-04-13 |
| 1508829268 | Daniel Ernest Beaulieu | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2006-04-11 |
| Find all providers in YPSILANTI | ||||
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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.