MARION SUSAN RODGMAN MD NPI 1649411158

NPI Information

NPI: 1649411158
Provider Name: MARION SUSAN RODGMAN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3520 LAKIN AVE
SUITE 103
GREAT BEND, KS
ZIP 67530
Phone: (620) 792-3345
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Marion Susan Rodgman, MD is a general practice in Great Bend, KS. Marion Susan Rodgman, MD NPI is 1649411158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3520 LAKIN AVE
SUITE 103
GREAT BEND, KS
ZIP 67530-660
Phone: (620) 792-3345
Fax: (620) 792-3767

The enumeration date for this NPI number is 3/12/2009 and was last updated on 11/3/2009.

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	208D00000X	General Practice		04-25143	KANSAS	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	100161240C	MEDICAID	KANSAS
2	1649411158	OTHER	KANSAS	BCBSKS
3	110708010	MEDICARE PIN	KANSAS

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

NPI Synchronization or Removal

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