ETHAN ROGERS (NPI# 1639220239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639220239 |
| Entity Type | Individual |
| Full Name | ETHAN ROGERS |
| Credential | MD |
| Practice Address |
743 Spring St Gainesville GA 30501 |
| Practice Telephone | 6788621796 |
| Practice Fax Number | 7705338949 |
| Mailing Telephone | 6788621796 |
| Mailing Fax Number | 7705338949 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 059926 | GA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | ME99797 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 429866120C | 05 | |
| GA | MEDICARE GROUP NUMBER | GRP4155 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609412675 | Ethan Rogers | Behavior Technician | 2555 Fox Run Rd Sw Apt 10, Wyoming, MI 49519-5210 | 2019-11-25 |
| 1386899078 | Ethan Samuel Rogers | Surgery | 7501 Osler Dr, Building A, Suite 205, Towson, MD 21204-7733 | 2008-11-21 |
| Street Address |
743 SPRING ST |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275160186 | Ryan Paul Anderson | Student in an Organized Health Care Education/Training Program | 743 Spring St, Suite 710, Gainesville, GA 30501-3899 | 2020-03-23 |
| 1407012933 | Robert John Nealy | Obstetrics & Gynecology | 743 Spring St, Northeast Georgia Medical Center, Gainesville, GA 30501-3899 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558883306 | Rustlewood Emergency Physicians LLC | Emergency Medicine | 4388 Nv 53rd Street Avenue, Gainesville, FL 32653 | 2017-07-13 |
| 1285169367 | Ryan Michael Luevanos | Emergency Medicine | 1147 Nw 64th, Terrace, Gainesville, FL 32605 | 2017-04-26 |
| 1477088045 | Benjamin Huston Murphy | Emergency Medicine | 3558 Nw 97th Blvd Fl 32606, Gainesville, FL 32606-7323 | 2017-04-20 |
| 1104367549 | Justine Anne Falcone | Emergency Medicine | 2490 Sw 14th Dr, Apt 24, Gainesville, FL 32608-2064 | 2017-03-18 |
| 1487008454 | Brittany Charlotte Beel | Emergency Medicine | Dept of Emergency Medicine 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0001 | 2016-04-15 |
| 1861897480 | Emergency Physicians Medical Center, LLC | Emergency Medicine | 9181 Nw 39th Ave, Gainesville, FL 32606-7372 | 2014-10-24 |
| 1124432471 | Gainesville Medical Centers | Emergency Medicine | 805 Nw 13th St, Gainesville, FL 32601-2904 | 2014-06-15 |
| 1760894497 | Jordan Bell | Emergency Medicine | 3034 Sw 98th Way, Gainesville, FL 32608-8682 | 2014-05-29 |
| 1639517972 | Charles William Hwang Jr. | Emergency Medicine | 1329-sw 16 St, Gainesville, FL 32610-0186 | 2013-06-10 |
| 1689012932 | Pratik Shashikant Patel | Emergency Medicine | 1329 Sw 16th St Ste 1210, Box 100371, Gainesville, FL 32610-0186 | 2013-06-10 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.