DR. JIM A ROGERS (NPI# 1629040985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629040985 |
| Entity Type | Individual |
| Full Name | DR. JIM A ROGERS |
| Credential | M.D. |
| Practice Address |
101 E Matthews St Suite 600 Matthews NC 28105-4866 |
| Practice Telephone | 7043211595 |
| Practice Fax Number | 7043212634 |
| Mailing Telephone | 7043211595 |
| Mailing Fax Number | 7043212634 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0031064 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | TRIGON BCBS | 149709 | 01 |
| NC | ANTHEM BLUE CROSS | 238843 | 01 |
| NC | RAILROAD MEDICARE | 070004749 | 01 |
| NC | AETNA HMO | 2194867 | 01 |
| NC | MEDICAID | 8972932 | 01 |
| NC | BCBS OF NC | 72932 | 01 |
| NC | UNITED HEALTHCARE | 0340242 | 01 |
| NC | AETNA REGULAR | 4216340 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770114324 | Jim Rogers | Social Worker | 524 N Tejon St Ste 3, Colorado Springs, CO 80903-4926 | 2020-02-03 |
| 1669693289 | Jim Rogers | Marriage & Family Therapist | 26734 Jordan Rd., Suite A-4, Helendale, CA 92342-1484 | 2007-05-01 |
| Street Address |
101 E MATTHEWS ST SUITE 600 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-4866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689644197 | Dermatology Associates of Charlotte | Dermatology | 101 E Matthews St, Suite 600, Matthews, NC 28105-4866 | 2006-01-25 |
| 1982136834 | Sarah Hughes | Physician Assistant | 101 E Matthews St, Suite 800, Matthews, NC 28105-4866 | 2017-03-30 |
| 1932521630 | Covenant Pediatrics Pa | Clinic/Center | 101 E Matthews St, Suite 800, Matthews, NC 28105-4866 | 2014-01-14 |
| 1306075544 | Cory Glenn Sheeler | Nurse Practitioner | 101 E Matthews St, Suite 200, Matthews, NC 28105-4866 | 2009-07-09 |
| 1992857155 | Jp Chiropractic & Posture, LLC | Chiropractor | 101 E Matthews St, Suite 700, Matthews, NC 28105-4866 | 2007-01-17 |
| 1578659900 | Paul J. Alexander, D.d.s., P.a. | Clinic/Center | 101 E Matthews St, Ste. 400, Matthews, NC 28105-4866 | 2006-10-05 |
| 1538180690 | Anthonia Ogechi Emezie | Pediatrics | 101 E Matthews St, Suite 800, Matthews, NC 28105-4866 | 2006-07-22 |
| 1780656546 | Jeongpil Park | Chiropractor | 101 E Matthews St, Suite 700, Matthews, NC 28105-4866 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689644197 | Dermatology Associates of Charlotte | Dermatology | 101 E Matthews St, Suite 600, Matthews, NC 28105-4866 | 2006-01-25 |
| 1174743066 | Ronea Harris Chambers | Dermatology | 1450 Matthews Township Pkwy Ste 170, Matthews, NC 28105-6300 | 2007-04-26 |
| 1114960069 | Novant Medical Group, Inc. | Dermatology | 1450 Matthews Township Pkwy Ste 170, Matthews, NC 28105-6300 | 2006-06-14 |
| 1164496949 | John Reid | Dermatology | 1450 Matthews Township Pkwy Ste 170, Matthews, NC 28105-6300 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1316556871 | Easterm Dermatology, Pa | Dermatology | 1840 Nc Hwy 24, Newport, NC 28570 | 2020-07-30 |
| 1548878549 | Clara Dermatology | Dermatology | 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 | 2020-07-16 |
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1073172433 | Elaine Otchere | Dermatology | M145 Green Zone Duke South 40 Duke Medicine Circle, Durham, NC 27710-8267 | 2019-06-10 |
| 1902469570 | Falling Leaves Dermatology Mooresville LLC | Dermatology | 136 Corporate Park Dr Ste H, Mooresville, NC 28117-6960 | 2019-04-18 |
| 1669945259 | Claire Engel Holmquist | Dermatology | 11301 Golf Links Dr N Ste 203, Charlotte, NC 28277-8014 | 2019-01-07 |
| 1497227144 | Integrated Dermatology of North Carolina, Pllc | Dermatology | 10512 Park Rd Ste 113, Charlotte, NC 28210-8469 | 2018-12-19 |
| 1558848093 | Dermatology Consultants of Asheville Pllc | Dermatology | 218 Elkwood Ave # 104, Woodfin, NC 28804-2247 | 2018-07-27 |
| Find all providers with the same taxonomy | ||||
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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.