Provider Demographics
NPI:1518990688
Name:TOKARS, ROGER P (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:P
Last Name:TOKARS
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 1:4701 TURNBERRY LN UNIT 17
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-8061
Mailing Address - Country:US
Mailing Address - Phone:724-470-4811
Mailing Address - Fax:
Practice Address - Street 1:2121 -B WARM SPRINGS RD.
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-660-8121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0651912085R0001X
PAMD044867L2085R0001X
OH35.0648112085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012595310001Medicaid
OH0919635Medicaid
OH4046791Medicare PIN
PA0012595310001Medicaid
OH0919635Medicaid