IndividualActive
John Rodger, PA
NPI 1750345146 · Surgical Physician Assistant · Wakefield, RI
Provider details
- NPI number
- 1750345146
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA00285 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 High St
Wakefield, RI 02879-3103
Phone: (401) 789-1422
Approximate (ZIP-level) locationGet directions
Mailing address
1 High St
Wakefield, RI 02879-3103
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2015-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.