TRACY EDWARD ROGERS PA-C NPI 1245341874

NPI Information

NPI: 1245341874
Provider Name: TRACY EDWARD ROGERS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
202 CONWAY DR STE 200
KALISPELL, MT
ZIP 59901
Phone: (406) 751-4189
Get Directions

Tracy Edward Rogers, PA-C is a surgical physician assistant in Kalispell, MT with 19 years of experience. Tracy Edward Rogers, PA-C NPI is 1245341874. 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:

202 CONWAY DR STE 200
KALISPELL, MT
ZIP 59901-153
Phone: (406) 751-4189
Fax: (406) 751-4145

The NPI 1245341874 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 8/31/2006 and was last updated on 1/11/2017.

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
1	363AS0400X	Physician Assistant	Surgical	441	MONTANA	Yes

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
1	Q62920	MEDICARE UPIN
2	4307613	MEDICAID	MONTANA
3	000097043	OTHER	MONTANA	BLUE CROSS
4	000085129	MEDICARE UPIN	MONTANA

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: 4/28/2024

NPI Synchronization or Removal

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