TYRONE WILLIAM ROGERS (NPI# 1376686527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376686527 |
| Entity Type | Individual |
| Full Name | TYRONE WILLIAM ROGERS |
| Credential | CSA |
| Practice Address |
1235 Magnolia Park Cir Cumming GA 30040 |
| Mailing Address |
Po Box 1875 Cumming GA 30028-1875 |
| Practice Telephone | 7709854257 |
| Practice Fax Number | 7709854258 |
| Mailing Telephone | 7709854257 |
| Mailing Fax Number | 7709854258 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164832481 | Tyrone Rogers Jr. | Surgery | 8040 Clearvista Pkwy Ste 490, Indianapolis, IN 46256-5604 | 2014-05-08 |
| Street Address |
1235 MAGNOLIA PARK CIR |
| City | CUMMING |
| State | GA |
| Zip Code | 30040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528206836 | Elite First Assisting | Physician Assistant | 1235 Magnolia Park Cir, Cumming, GA 30040-8338 | 2009-01-23 |
| 1669691622 | Elite First Assisting | Physician Assistant | 1235 Magnolia Park Cir, Cumming, GA 30040-8338 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
| 1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
| 1689140311 | Blaire Daniel | Physician Assistant | 1520 Willow Park Way, Cumming, GA 30041-7902 | 2018-10-20 |
| 1689969495 | Daniel P Klein | Physician Assistant | 7360 Serenity Pl, Cumming, GA 30041 | 2011-06-09 |
| 1083795132 | Michael Lasala Binstock | Physician Assistant | 1505 Northside Forsyth Blvd, Ste 3500, Cumming, GA 30041 | 2006-10-17 |
| 1033688932 | Blaire Necessities Surgical Assisting | Physician Assistant | 1520 Willow Park Way, Cumming, GA 30041-7902 | 2018-11-20 |
| 1457899395 | Lauren Ashley Wages Edeker | Physician Assistant | 4150 Deputy Bill Cantrell Memorial Rd, Ste 240, Cumming, GA 30040 | 2017-02-10 |
| 1801238670 | Antonio Gunnthear Fleneury | Physician Assistant | 2300 Bethelview Rd, Ste 110 #197, Cumming, GA 30040-9475 | 2013-07-22 |
| 1598050304 | Lisa Perez | Physician Assistant | 7360 Serenity Pl, Cumming, GA 30041-2261 | 2011-06-09 |
| 1528206836 | Elite First Assisting | Physician Assistant | 1235 Magnolia Park Cir, Cumming, GA 30040-8338 | 2009-01-23 |
| Find all providers in CUMMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.