Provider Demographics
NPI:1427021427
Name:ROGERS, WARREN S (MD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:S
Last Name:ROGERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 716
Mailing Address - Street 2:100 SHENANGO AVENUE
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-0716
Mailing Address - Country:US
Mailing Address - Phone:724-704-7272
Mailing Address - Fax:724-704-7189
Practice Address - Street 1:89 ELM AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-2338
Practice Address - Country:US
Practice Address - Phone:724-704-7272
Practice Address - Fax:724-704-7189
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4247072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
167453OtherVALUEOPTIONS
68387OtherCIGNA
PA101104497Medicaid
OH2491441Medicaid
9352582OtherPRIVATE HEALTHCARE SYSTEM
167453OtherVALUEOPTIONS
E72178Medicare UPIN