Provider Demographics
NPI:1447343793
Name:ROGERS, MARSHA E (MD)
Entity type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:E
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20805 W 151ST ST
Mailing Address - Street 2:224
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7249
Mailing Address - Country:US
Mailing Address - Phone:913-782-8300
Mailing Address - Fax:913-782-1574
Practice Address - Street 1:20805 W 151ST ST
Practice Address - Street 2:224
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7249
Practice Address - Country:US
Practice Address - Phone:913-782-8300
Practice Address - Fax:913-782-1574
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2014-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-20974207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100131270MMedicaid
19337042OtherBCBS KANSAS CITY
KS033D00096Medicare PIN
19337042OtherBCBS KANSAS CITY