Provider Demographics
NPI:1922158278
Name:ANN M. ROGERS, MD & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ANN M. ROGERS, MD & ASSOCIATES, INC.
Other - Org Name:RAINBOW PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BILLIE JO
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-939-1374
Mailing Address - Street 1:153 W MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9224
Mailing Address - Country:US
Mailing Address - Phone:614-939-2200
Mailing Address - Fax:614-939-2201
Practice Address - Street 1:153 W MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-9224
Practice Address - Country:US
Practice Address - Phone:614-939-2200
Practice Address - Fax:614-939-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35033858208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty