Provider Demographics
NPI:1780654665
Name:ROGERS, SAMUEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:E
Last Name:ROGERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 S MINNESOTA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3761
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1325 S. CLIFF AVE.
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1007
Practice Address - Country:US
Practice Address - Phone:605-322-4425
Practice Address - Fax:605-322-4499
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2013-12-11
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Provider Licenses
StateLicense IDTaxonomies
SD45602080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN040130007OtherPRIMEWEST
SDHP32540OtherHEALTHPARTNERS
IA0533695Medicaid
SD22326OtherMIDLAND'S CHOICE
MN62B58ROOtherCC SYSTEMS/BLUE PLUS
SD57105L006OtherWPS TRICARE
SD9145659OtherDAKOTACARE
MN250745500Medicaid
NE4700118Medicaid
SD6701340Medicaid
SD800762OtherARAZ/AMERICA'S PPO
MN140311OtherUCARE
NE46022474345Medicaid
SD0007025OtherBLUE CROSS/SOUTH DAKOTA
SD34577OtherSANFORD HEALTH
SD4700076OtherMEDICA
SD769221022962OtherPREFERRED ONE
SD6701340Medicaid
SD0007025OtherBLUE CROSS/SOUTH DAKOTA