Provider Demographics
NPI:1881699643
Name:ROGERS, RHEA A (MD)
Entity type:Individual
Prefix:DR
First Name:RHEA
Middle Name:A
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 N HILLSIDE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3220
Mailing Address - Country:US
Mailing Address - Phone:316-685-1277
Mailing Address - Fax:316-688-5208
Practice Address - Street 1:902 N HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3220
Practice Address - Country:US
Practice Address - Phone:316-685-1277
Practice Address - Fax:316-688-5208
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0428905207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100388560CMedicaid
KS103279Medicare PIN