Individual
DR. GREGORY K RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 678-9919
Mailing address
3205 SUMMIT SQUARE PL, SUITE 100, LEXINGTON, KY 40509-2650
(859) 335-9041
(859) 335-9072
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35081619
OH
207P00000X
Emergency Medicine Physician
Primary
44172
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2347857
—
OH
01
—
326506
ANTHEM/BCBS
OH
01
—
P00143222
MEDICARE RAILROAD
OH
Enumeration date
05/26/2006
Last updated
08/21/2015
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