Provider Demographics
NPI:1225127160
Name:ROGG, MARGARETHE EMILIE (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARETHE
Middle Name:EMILIE
Last Name:ROGG
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:PO BOX 3075
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80155-3075
Mailing Address - Country:US
Mailing Address - Phone:303-683-4000
Mailing Address - Fax:720-385-1933
Practice Address - Street 1:7200 S ALTON WAY STE A270
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2249
Practice Address - Country:US
Practice Address - Phone:970-305-2461
Practice Address - Fax:720-385-1933
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO50612207Q00000X
COCDRH.0050612207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR022929Medicaid
OR00479105OtherRAILROAD MEDICARE
OR130563Medicare ID - Type Unspecified
OR135751Medicare PIN
ORH03711Medicare UPIN