STACEY J ROGERS (NPI# 1760487318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760487318 |
| Entity Type | Individual |
| Full Name | STACEY J ROGERS |
| Credential | MD |
| Practice Address |
725 Volvo Pkwy Suite 200 Chesapeake VA 23320-1602 |
| Mailing Address |
5900 Lake Wright Dr Suite 300 Norfolk VA 23502-1871 |
| Practice Telephone | 7575494403 |
| Practice Fax Number | 7575494332 |
| Mailing Telephone | 7572135700 |
| Mailing Fax Number | 7572135701 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2014-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
0101235217 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RAILROAD MEDICARE | P00157173 | 01 |
| VA | OPTIMA | 75798 | 01 |
| VA | 010090989 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145013 | Stacey Brooke Rogers | Dentist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-08-22 |
| 1033621024 | Stacey Rogers | Nurse Practitioner | 2319 Manhattan Rd, Joliet, IL 60433-8605 | 2017-10-30 |
| 1144670381 | Stacey Rogers | Physical Therapy Assistant | 4560 Se International Way Ste 100, Portland, OR 97222-4628 | 2016-06-19 |
| 1811227143 | Stacey Simonson Rogers | Counselor | 5656 S 129th East Ave, Tulsa, OK 74134-6715 | 2010-01-08 |
| Street Address |
725 VOLVO PKWY SUITE 200 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386041 | Marc Kamel Boustany | Specialist | 725 Volvo Pkwy, Ste. 210, Chesapeake, VA 23320-1602 | 2005-06-15 |
| 1487214235 | Paige C Fedro | Physician Assistant | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-06-14 |
| 1205391166 | Sonya Leann Woronowicz | Nurse Practitioner | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-02-05 |
| 1316401359 | Electrophysiologic Testing and Physical Therapy Services | Physical Therapist | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-01-23 |
| 1962985655 | Kelsey Jordana Garner | Physician Assistant | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2018-09-10 |
| 1881188183 | Lindsay Piccillo Houghton | Registered Nurse | 725 Volvo Pkwy, Chesapeake, VA 23320 | 2018-06-20 |
| 1437690153 | Caitlin T Johnson | Nurse Practitioner | 725 Volvo Pkwy, Ste 102, Chesapeake, VA 23320-1621 | 2017-03-14 |
| 1932511441 | Van Thi Nguyen | Family Medicine | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2014-06-02 |
| 1952727588 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 725 Volvo Pkwy, Ste 210, Chesapeake, VA 23320-1602 | 2014-03-06 |
| 1225276785 | Sentara Medical Group | Orthopaedic Surgery | 725 Volvo Pkwy, Ste 210, Chesapeake, VA 23320-1602 | 2009-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639193907 | Thomas W Montag Md Plc | Obstetrics & Gynecology | 109 Wimbledon Sq, Suite F, Chesapeake, VA 23320-4945 | 2006-07-27 |
| 1306848270 | Thomas W Montag | Obstetrics & Gynecology | 109 Wimbledon Sq, Suite F, Chesapeake, VA 23320-4945 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700434420 | Central Virginia Gynecologic Oncology PC | Obstetrics & Gynecology | 9101 Stony Point Dr # 3300, Richmond, VA 23235-1979 | 2019-08-27 |
| 1265951818 | Bon Secours Memorial Regional Medical Center Inc | Obstetrics & Gynecology | 1510 N 28th St Ste 305, Richmond, VA 23223-5311 | 2017-09-14 |
| 1225460900 | Sherilynn Hummel | Obstetrics & Gynecology | 372 Coles Road, Burgess, VA 22432-0639 | 2013-08-05 |
| 1184811614 | Christopher Kevin Mccann | Obstetrics & Gynecology | 12720 Mcmanus Blvd Ste 308, Newport News, VA 23602-4414 | 2007-09-28 |
| 1861592339 | Randal John West | Obstetrics & Gynecology | 9101 Stony Point Dr Ste 3300, Richmond, VA 23235-1979 | 2006-09-25 |
| 1811948383 | Janet L Osborne | Obstetrics & Gynecology | 1 Riverside Cir Ste 300m, Roanoke, VA 24016-4962 | 2006-05-12 |
| 1699733808 | Chad Andrew Hamilton | Obstetrics & Gynecology | 3289 Woodburn Rd Ste 320, Annandale, VA 22003 | 2006-05-04 |
| 1730156373 | John C Elkas | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 320, Annandale, VA 22003-6800 | 2006-03-02 |
| 1902348139 | Loudoun Medical Group . P.c | Obstetrics & Gynecology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-11-04 |
| 1932654886 | Bon Secours - Richmond Community Hospital, Incorporated | Obstetrics & Gynecology | 5875 Bremo Rd, Suite G-7, Richmond, VA 23226 | 2016-08-22 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
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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.