DR. HAROLD ALLEN RODGERS (NPI# 1548363112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548363112 |
| Entity Type | Individual |
| Full Name | DR. HAROLD ALLEN RODGERS |
| Credential | MD |
| Practice Address |
2100 Forest Ave #103 San Jose CA 95128-1422 |
| Mailing Address |
2100 Forest Ave #103 Harold A Rodgers Md San Jose CA 95128-1422 |
| Practice Telephone | 4082985533 |
| Practice Fax Number | 4082984613 |
| Mailing Telephone | 4082985533 |
| Mailing Fax Number | 4082984613 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G21648 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037559 | Harold Lynn Rodgers Jr. | Orthopaedic Surgery | 1125 Raintree Cir, Suite 100, Allen, TX 75013-4900 | 2005-07-19 |
| Street Address |
2100 FOREST AVE #103 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194712109 | Executive Endoscopy, Inc | Clinic/Center | 2100 Forest Ave, 109, San Jose, CA 95128-1422 | 2005-10-04 |
| 1184146714 | Mona Mukesh Joshi | Optometrist | 2100 Forest Ave, Ste 110, San Jose, CA 95128-1422 | 2017-07-14 |
| 1871712174 | Forest Avenue Medical Group | Internal Medicine | 2100 Forest Ave, Suite 104, San Jose, CA 95128-1422 | 2007-04-25 |
| 1174655633 | Michael Francis Martin | Internal Medicine | 2100 Forest Ave, Suite 104, San Jose, CA 95128-1422 | 2007-03-11 |
| 1801925151 | Thomas James Mcguire | Internal Medicine | 2100 Forest Ave, Suite 104, San Jose, CA 95128-1422 | 2007-03-05 |
| 1598815110 | Executive Endoscopy, Inc. | Clinic/Center | 2100 Forest Ave, Suite 109, San Jose, CA 95128 | 2007-01-12 |
| 1942373998 | David W Chui | Internal Medicine | 2100 Forest Ave, 102, San Jose, CA 95128-1422 | 2006-11-16 |
| 1700955143 | Michael Tandick Charney | Internal Medicine | 2100 Forest Ave, #106, San Jose, CA 95128-1422 | 2006-11-07 |
| 1639265770 | Robert Edmond Neger | Ophthalmology | 2100 Forest Ave, Suite 110, San Jose, CA 95128-1422 | 2006-10-05 |
| 1023122959 | David H Eby Jr. | Internal Medicine | 2100 Forest Ave, Suite 104, San Jose, CA 95128 | 2006-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568767663 | D. Thomas Urban M.d., Inc | Dermatology | 6501 Crown Blvd., Suite #106a, San Jose, CA 95120-2903 | 2011-01-20 |
| 1821312091 | Advanced Dermatology and Skin Surgery Inc | Dermatology | 4155 Moorpark Ave Ste 3, San Jose, CA 95117-1714 | 2010-03-17 |
| 1386970853 | Edward E Rotan Md Inc | Dermatology | 2016 Forest Ave Ste 5, San Jose, CA 95128-4804 | 2009-10-19 |
| 1801992847 | An Tranvan | Dermatology | 105 N Jackson Ave Ste 103, San Jose, CA 95116-1913 | 2006-09-16 |
| 1720181399 | Hong Do | Dermatology | 1692 Tully Road, Suite #9, San Jose, CA 95122 | 2006-09-07 |
| 1366477606 | Sandra T Yeh | Dermatology | 706 N Winchester Blvd, San Jose, CA 95128-1524 | 2006-07-12 |
| 1881655363 | Marie B Britz | Dermatology | 2074 Forest Ave, Suite 1, San Jose, CA 95128-4811 | 2006-03-31 |
| 1114914256 | Tom Urban | Dermatology | 6501 Crown Blvd, Suite 106a, San Jose, CA 95120-2903 | 2005-10-04 |
| 1093718546 | Mychael Luu | Dermatology | 2050 Clarmar Way, San Jose, CA 95128-1704 | 2005-05-28 |
| 1144755141 | Uberwoundcare Inc | Dermatology | 2880 Zanker Rd, Suite 203, San Jose, CA 95134-2117 | 2017-04-27 |
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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.