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KENNETH F RODGERS MD PA NPI 1639351638


NPI Information

NPI: 1639351638
Provider Name: KENNETH F RODGERS MD PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1707 LINWOOD DRIVE
SUITE A
PARAGOULD, AR
ZIP 72450
Phone: (870) 236-2202
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KENNETH F RODGERS MD PA is a gastroenterology internal medicine in Paragould, AR. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. KENNETH F RODGERS MD PA NPI is 1639351638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1707 LINWOOD DRIVE
SUITE A
PARAGOULD, AR
ZIP 72450
Phone: (870) 236-2202
Fax: (870) 236-8428

The provider's authorized official is Kenneth F Rodgers .
The authorized official title is Owner and has the following contact phone number (870) 236-2202.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyC7528ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E50487MEDICARE UPIN
2209217702OTHERMISSOURIGTE DATA SERVICES MEDICAI
3118700001MEDICAIDARKANSAS
454178MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.