Provider Demographics
NPI:1083049357
Name:ROGERS, ANNA EVELYN (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:EVELYN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 E PINE ST
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-7155
Mailing Address - Country:US
Mailing Address - Phone:575-388-1561
Mailing Address - Fax:575-388-9952
Practice Address - Street 1:2600 N SILVER ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-7201
Practice Address - Country:US
Practice Address - Phone:575-388-1889
Practice Address - Fax:575-388-9952
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2022-1512207Q00000X, 207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program