DR. RODGER A LIDDLE (NPI# 1689756702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689756702 |
| Entity Type | Individual |
| Full Name | DR. RODGER A LIDDLE |
| Credential | M.D. |
| Practice Address |
4101 N Roxboro St Durham NC 27704-2121 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
33083 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8951906 | 05 |
| Street Address |
4101 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884749 | Mariam Susan Latuga | Pediatrics | 4101 N Roxboro St, Durham, NC 27704-2121 | 2005-07-13 |
| 1265559660 | Susan E. Totten | Dietitian, Registered | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-23 |
| 1588789929 | Perri Anne Morgan | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-21 |
| 1629106687 | Melissa Merrill Burkett | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-01 |
| 1669516720 | Elisabeth A Smith | Psychiatry & Neurology | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-20 |
| 1932243995 | Kelly Ann Asher | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-16 |
| 1386783454 | Maria Baird Plentl | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27710-0001 | 2007-02-06 |
| 1588717037 | Debra Kohlman-trigoboff | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-19 |
| 1700937760 | Melanie Hicks Meadows | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
| 1659422608 | Jennifer Annette Tenhover | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235365297 | Matthew R Kappus | Internal Medicine | Duke Gastroenterology Dumc 3923, Durham, NC 27710 | 2009-06-04 |
| 1962571232 | Douglas A. Drossman | Internal Medicine | 5826 Fayetteville Rd Ste 201, Durham, NC 27713-8684 | 2006-11-08 |
| 1780785196 | Dawn Provenzale | Internal Medicine | 508 Fulton St # 152, Building 6, Durham, NC 27705-3875 | 2006-09-26 |
| 1487602561 | Richard K Wood Jr. | Internal Medicine | Dumc 3662, Durham, NC 27710-0001 | 2006-05-04 |
| 1891755153 | Scott Robert Brazer | Internal Medicine | 249 E Nc Highway 54, Suite 200, Durham, NC 27713-7512 | 2006-03-23 |
| 1902875727 | John T Geneczko Jr. | Internal Medicine | 200 Trent Dr, 3662 Dumc, Durham, NC 27710-2479 | 2006-03-15 |
| 1013310457 | Raghubinder S Gill | Internal Medicine | 40 Duke Medicine Cir, Duke Clinic 2h, Durham, NC 27710-4000 | 2014-09-30 |
| 1720493521 | Private Diagnostic Clinic, Pllc | Internal Medicine | 249 E Nc Highway 54, Suite 200, Durham, NC 27713-7512 | 2014-07-01 |
| 1730593013 | Danny George Cheriyan | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2014-06-16 |
| 1467794735 | Brian Sullivan | Internal Medicine | 508 Fulton St, Durham, NC 27705-3875 | 2013-03-25 |
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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.