Provider Demographics
NPI:1548267222
Name:ROGOZINSKI, ZBIGNIEW (MD)
Entity type:Individual
Prefix:DR
First Name:ZBIGNIEW
Middle Name:
Last Name:ROGOZINSKI
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 1:2333 ALUMNI PARK PLZ STE 200
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-4022
Mailing Address - Country:US
Mailing Address - Phone:859-257-7910
Mailing Address - Fax:
Practice Address - Street 1:310 S LIMESTONE STE 100A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-3008
Practice Address - Country:US
Practice Address - Phone:859-323-7246
Practice Address - Fax:859-257-6612
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35253207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP00201589OtherRAILROAD MCR
KY000000354848OtherANTHEM
KY611142277OtherBLUEGRASS FAMILY HEALTH
KY000030112FOtherHUMANA
KY611142277OtherTRICARE
KY64035140Medicaid
KY611142277OtherBLUEGRASS FAMILY HEALTH
KY64035140Medicaid