Basic Information
| Provider Information | |||||||||
| NPI: | 1306847082 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROGINA | ||||||||
| FirstName: | LAWRENCE | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Practice Location | |||||||||
| Address1: | 12525 N WELTY RD | ||||||||
| Address2: | SUITE B | ||||||||
| City: | WAYNESBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172681719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177628138 | ||||||||
| FaxNumber: | 7177624551 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2005 | ||||||||
| LastUpdateDate: | 05/05/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | OS006471E | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | 283965 | 01 | PA | MAMSI | OTHER | G920-0021/535889 | 01 | PA | CAREFIRST | OTHER | 120420404 | 01 | PA | DEPT OF LABOR | OTHER | 1336367 | 01 | PA | FIRST HEALTH | OTHER | 1534203 | 01 | PA | GATEWAY | OTHER | 2332466 | 01 | PA | AETNA HMO | OTHER | 5765003 | 01 | PA | AETNA NON-HMO | OTHER | OS006471E | 01 | PA | LICENSE | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | 122696 | 01 | PA | UNISON | OTHER | 2021101 | 01 | PA | CAPITAL BLUECROSS | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | BR1423780 | 01 | PA | DEA | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 669499 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | P00052479 | 01 | PA | RAILROAD MEDICARE | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 001247512 0004 | 05 | PA | MEDICAID | 0012475120002 | 05 | PA | MEDICAID | 25-1716306 | 01 | PA | GREATWEST HEALTHCARE | OTHER | 427317 | 01 | PA | HEALTH AMERICA | OTHER |