Provider Demographics
NPI:1225053226
Name:OURSLER, RODGER FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RODGER
Middle Name:FRANCIS
Last Name:OURSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1035 WOODSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:STREET
Mailing Address - State:MD
Mailing Address - Zip Code:21154-1115
Mailing Address - Country:US
Mailing Address - Phone:410-692-0384
Mailing Address - Fax:410-692-0384
Practice Address - Street 1:20 GATEWAY DRIVE
Practice Address - Street 2:BEL AIR SQUARE, SUITE 20A
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-0089
Practice Address - Country:US
Practice Address - Phone:410-420-7630
Practice Address - Fax:410-420-7911
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD#D51414207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD182010900Medicaid
MDG40658Medicare UPIN
MD182010900Medicaid