Provider Demographics
NPI:1346252145
Name:ROGERS, CINDY A (MD MPH)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:A
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:MISS
Other - First Name:CINDY
Other - Middle Name:ALLAN
Other - Last Name:WAMPLER-ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MPH
Mailing Address - Street 1:PO BOX 1331
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73702-1331
Mailing Address - Country:US
Mailing Address - Phone:580-237-2327
Mailing Address - Fax:580-237-2339
Practice Address - Street 1:305 S 5TH ST
Practice Address - Street 2:ATTN: WOUND CARE DEPARTMENT
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5832
Practice Address - Country:US
Practice Address - Phone:580-548-5010
Practice Address - Fax:580-548-5012
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7249111NX0100X
OK163112083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100137350AMedicaid
OK100137350AMedicaid