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Deactivated NPI 1366563413 Deactivated / Inactive NPI Male Practitioner

Dr. Gordon Bruce Roget , MD

Plastic Surgery • Lodi, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gordon Roget has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 03, 2007
NPI Deactivation Date June 19, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Roget, MD was a registered Plastic Surgery practicing in Lodi, CA. Throughout an active medical career spanning 18 years, Dr. Roget provided care at the practice location at 510 S FAIRMONT AVE until profile deactivation on 2025-06-19.

Practice Location & Contact Primary Location

Practice Address

510 S Fairmont Ave

Lodi, CA 952403800

Telephone 2093344975
Fax 2093330864

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Lodi, CA (941 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA A34480

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Randy Roget , DDS

Dentist - General Practice

NPI 1134211220

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2025

Record deactivated on June 19, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 510 S FAIRMONT AVE, LODI, CA 952403800 (Tel: 2093344975)

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Updated Business Mailing Address July 08, 2007

Registered at 510 S FAIRMONT AVE, LODI, CA 952403800 (Tel: 2093344975)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GORDON ROGET, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #A34480 in CA)

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Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366563413
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: July 08, 2007
Deactivation Date: June 19, 2025

Mailing Address

510 S Fairmont Ave

Lodi, CA 952403800

Phone: 2093344975

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.