1629051693 NPI number — DR. PETER MICHAEL ROGASKI OD

Table of content: DR. PETER MICHAEL ROGASKI OD (NPI 1629051693)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629051693 NPI number — DR. PETER MICHAEL ROGASKI OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROGASKI
Provider First Name:
PETER
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
OD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629051693
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1040 RANDOLPH ST
Provider Second Line Business Mailing Address:
STE 1415
Provider Business Mailing Address City Name:
THOMASVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27360-6383
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-472-8700
Provider Business Mailing Address Fax Number:
336-472-8740

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1040 RANDOLPH ST
Provider Second Line Business Practice Location Address:
STE 1415
Provider Business Practice Location Address City Name:
THOMASVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27360-6383
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-472-8700
Provider Business Practice Location Address Fax Number:
336-472-8740
Provider Enumeration Date:
11/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  NC1741 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8909258 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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