| Randy A Rogers, CRNA | |
|
1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | |
| (405) 307-1000 | |
| Not Available |
| Full Name | Randy A Rogers |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1125 N Porter Ave Ste 301, Norman, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063528743 | NPI | - | NPPES |
| 200320310 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA00844 (New Mexico) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28116325 (Louisiana) | Secondary |
| Entity Name | Ivinson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy A Rogers, CRNA Po Box 1330, Norman, OK 73070-1330 Ph: (405) 307-1000 | Randy A Rogers, CRNA 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 Ph: (405) 307-1000 |
Jennifer Leigh Fleck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Darren Todd Gose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, #100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Kendall Hurley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd Ste 101, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Deanne Lynn Givens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, #100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Jason Ray Falconer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072 Phone: 405-701-3418 Fax: 405-701-3451 | |
Bruce E Kennedy, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 W Gray St, Norman, OK 73069 Phone: 405-364-6182 Fax: 405-364-5379 |