Basic Information
| Provider Information | |||||||||
| NPI: | 1548267222 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROGOZINSKI | ||||||||
| FirstName: | ZBIGNIEW | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2333 ALUMNI PARK PLZ STE 200 | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405174022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592577910 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 310 S LIMESTONE STE 100A | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405083008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593237246 | ||||||||
| FaxNumber: | 8592576612 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2005 | ||||||||
| LastUpdateDate: | 10/29/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | 35253 | KY | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 208VP0014X | 35253 | KY | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | P00201589 | 01 | KY | RAILROAD MCR | OTHER | 000000354848 | 01 | KY | ANTHEM | OTHER | 611142277 | 01 | KY | BLUEGRASS FAMILY HEALTH | OTHER | 000030112F | 01 | KY | HUMANA | OTHER | 611142277 | 01 | KY | TRICARE | OTHER | 64035140 | 05 | KY | MEDICAID |