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DR. JERRY WHARTON RODGERS M.D. NPI 1942218359


NPI Information

NPI: 1942218359
Provider Name: DR. JERRY WHARTON RODGERS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
18780 INTERSTATE 20
CANTON, TX
ZIP 75103
Phone: (903) 567-7748
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DR. Jerry Wharton Rodgers, M.D. is a family medicine in Canton, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jerry Wharton Rodgers, M.D. NPI is 1942218359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18780 INTERSTATE 20
CANTON, TX
ZIP 75103-593
Phone: (903) 567-7748

The NPI 1942218359 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 10/13/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineD5180TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
186426FOTHERTEXASBCBS
2039171606MEDICAIDTEXAS
3P01069945OTHERTEXASRAIL ROAD
4C21187MEDICARE UPINTEXAS
500872XMEDICARE PINTEXAS
68J3853MEDICARE PINTEXAS
7752616977028OTHERTEXASTRICARE
8TXB154299MEDICARE OSCAR/CERTIFICATIONTEXAS
9P00467568MEDICARE PINTEXAS
10752616977001OTHERTEXASTRICARE
118V0575OTHERTEXASBCBS OF TEXAS
12039171607MEDICAIDTEXAS
131701864-01MEDICAIDTEXAS
148J6117MEDICARE OSCAR/CERTIFICATIONTEXAS

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: 5/5/2024

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.