Provider Demographics
NPI:1083505531
Name:ROGERS, JAMES (EMT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:ROGERS
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 STOCKTON CT
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-2032
Mailing Address - Country:US
Mailing Address - Phone:608-852-7777
Mailing Address - Fax:
Practice Address - Street 1:618 STOCKTON CT
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-2032
Practice Address - Country:US
Practice Address - Phone:608-852-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33853146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic