DR. DIANA EVELYN ROGERS (NPI# 1649576653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649576653 |
Entity Type | Individual |
Full Name | DR. DIANA EVELYN ROGERS |
Credential | DPM, MS |
Practice Address |
9697 Saint Catherines Dr # 300 Pleasant Prairie WI 53158-2118 |
Mailing Address |
9697 St. Catherine's Drive, #300 Attn: Melissa/medical Staff Office Pleasant Prairie WI 53143-5031 |
Practice Telephone | 2626563338 |
Practice Fax Number | 2626563368 |
Mailing Telephone | (262) 656-3313 |
Mailing Fax Number | 2626535850 |
Enumeration Date | 2011-02-09 |
Last Update Date | 2017-10-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1110-25 | WI | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1649576653 | 05 | |
WI | MEDICARE (UHS PHYSICIAN CLINIC) | K400417175 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891952784 | Diana Lynn Rogers | Licensed Practical Nurse | 1712 Treetop Trl Apt D, Akron, OH 44313-8573 | 2008-05-19 |
1215321815 | Diana Rogers | Counselor | 200 Casentini St, Salinas, CA 93907-2299 | 2015-03-23 |
1033228705 | Diana Marie Rogers | Social Worker | 3710 Sw Us Veterans Hospital Rd, Vancouver Division - V3satp, Portland, OR 97239-2964 | 2006-08-29 |
Street Address |
9697 SAINT CATHERINES DR # 300 |
City | PLEASANT PRAIRIE |
State | WI |
Zip Code | 53158-2118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750603130 | Shelley L Johnson | Nurse Practitioner | 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | 2010-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497393516 | Aurora Surgery Centers, LLC | Clinic/Center | 12500 Aurora Drive, Pleasant Prairie, WI 53158 | 2019-12-19 |
1770144297 | Jill Plaisted | Counselor | 8503 75th Street, Suite A, Pleasant Prairie, WI 53158 | 2019-06-25 |
1427593847 | Douglas Marion Mcdaniel | Physical Therapy Assistant | 5932 85th St, Pleasant Prairie, WI 53158 | 2016-12-20 |
1477095602 | Molly Weber | Speech-Language Pathologist | 8717 82nd St, Apartment 109, Pleasant Prairie, WI 53158 | 2016-11-04 |
1568919165 | Nicole Taylor | Specialist/Technologist | 9321 8th Avenue, Pleasant Prairie, WI 53158 | 2016-09-01 |
1578980165 | Forefront Dermatology, S.c. | Dermatology | 9020 76th St, Suite E, Pleasant Prairie, WI 53158 | 2014-03-21 |
1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
1932273398 | Pamela Anderson | Registered Nurse | 11202 79 Street, Pleasant Prairie, WI 53158 | 2006-11-20 |
1033205562 | Holly Seidman | Pharmacist | 1309 110th Street, Pleasant Prairie, WI 53158 | 2006-10-04 |
1588671838 | Daniel James Johnson | Dentist | 9809 39th Avenue, Suite #1, Pleasant Prairie, WI 53158 | 2006-08-01 |
Find all providers in zip 53158 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
Find all providers with the same taxonomy |
City | PLEASANT PRAIRIE |
Zip Code | 53158 |
Please comment or provide details below to improve the information on DR. DIANA EVELYN ROGERS.
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.