Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | MD0000024782 | TN |
NPI | 1285656652 |
---|---|
Provider Name | Dr. John Sims Rogers |
First Address | Knoxville, TN 37901 |
Second Address | Knoxville, TN 37916-2219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 27/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0180359 | BCBS (01) | TN |
3079515 | (05) | TN |
F19863 | (02) | TN |