Provider Demographics
NPI:1851501159
Name:ROGERS, JAMES MATTHEW (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MATTHEW
Last Name:ROGERS
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:33092 N ROUNDHEAD DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4825
Mailing Address - Country:US
Mailing Address - Phone:440-343-1451
Mailing Address - Fax:
Practice Address - Street 1:24701 EUCLID AVE
Practice Address - Street 2:UNIVERSITY HOSPITAL MEDICAL GROUP, I
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-1714
Practice Address - Country:US
Practice Address - Phone:216-383-6614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant