MR. GARY ROGERS M.D. NPI 1487693677

NPI Information

  • NPI: 1487693677
  • Provider Name: MR. GARY ROGERS, M.D.
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 LONGWOOD AVE
    CHILDRENS HOSPITAL DIVISION OF PLASTIC SURGERY
    BOSTON, MA
    ZIP 02115
  • Phone: (617) 355-8509

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NPI Details

MR. Gary Rogers, M.D. is a plastic surgery in Boston, MA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. MR. Gary Rogers, M.D. NPI is 1487693677. 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:

300 LONGWOOD AVE
CHILDRENS HOSPITAL DIVISION OF PLASTIC SURGERY
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-8509
Fax: (617) 738-1657

The NPI 1487693677 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 6/5/2006 and was last updated on 5/13/2008.

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
1208200000XPlastic Surgery160060MASSACHUSETTSYes

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
1A3260701MEDICARE PINMASSACHUSETTS
2A32607MEDICARE ID-TYPE UNSPECIFIED
3G26000MEDICARE UPIN
40134024MEDICAIDMASSACHUSETTS

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: 3/30/2025

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