Eddie G Rogers , CPO
Prosthetist • Modesto, CA
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, Eddie Rogers has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Eddie Rogers, CPO was a registered Prosthetist practicing in Modesto, CA. Throughout an active medical career spanning 12 years, Eddie Rogers provided care at the practice location at 1705 COFFEE RD until profile deactivation on 2020-12-09.
Practice Location & Contact Primary Location
1705 Coffee Rd
Suite 3
Modesto, CA 953552809
Specialty Benchmarks & Practice Insights
Comparative analytics for Prosthetist in Modesto, CA
Practicing in Modesto, CA (316 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 224P00000X
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Orthotic Fitter
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 09, 2020
NPI status registered as active in NPPES database
Registered at 1705 COFFEE RD, SUITE 3, MODESTO, CA 953552809 (Tel: 2095500100)
Registered at 693 HI TECH PKWY, OAKDALE, CA 953619113 (Tel: 2098458231)
Recorded as EDDIE ROGERS, CPO
Prosthetist (License #CPO00753 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
693 Hi Tech Pkwy
Oakdale, CA 953619113
Phone: 2098458231
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