Provider Demographics
NPI:1255361614
Name:ROGERS, EDWARD QUIGLEY (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:QUIGLEY
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1700
Mailing Address - Fax:717-851-1710
Practice Address - Street 1:3065 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356-8533
Practice Address - Country:US
Practice Address - Phone:717-851-1700
Practice Address - Fax:717-851-1710
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032291E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1142365OtherAH MERCY-WMG GIM
PA438912OtherHIGHMARK BLUE SHIELD
PA80739OtherUNISON-WMG GIM
PAP002869OtherGATEWAY-WMG
MD526200OtherCAREFIRST MD BCBS
PA4277142OtherAETNA
PA001099151Medicaid
PA030071OtherJOHNS HOPKINS
PA233271OtherMAMSI-WMG
PA36515OtherGEISINGER
PA01079104OtherCAPITAL BC-WMG CMBH
PA20016268OtherAH MERCY-WMG CMBH
PA0100660000OtherAMERIHEALTH 65 PA
PA01079103OtherCAPITAL BC-WMG GIM
PA133580OtherUNISON-WMG CMBH
PA01079104OtherCAPITAL BC-WMG CMBH
PA110132511Medicare PIN
PA20016268OtherAH MERCY-WMG CMBH