1. Home
  2. Directory
  3. Kentucky
  4. Fort Campbell
  5. Physician Assistant
  6. NPI Profile

ROMAN ROGOZIN PA
NPI 1073361069
Physician Assistant in Fort Campbell, KY

Active since May 07, 2024
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8400 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2025, May 9, 2024 (2 updates tracked since 2024).

About Roman Rogozin Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROMAN ROGOZIN PA (NPI 1073361069) is an individual physician assistant in Fort Campbell, Kentucky, licensed in Tennessee (1236757) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1073361069
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROMAN ROGOZINCredential: PA
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address879 Terraceside CirClarksville, TN 37040-6175 · (726) 400-1012
Phone(270) 798-8400
Sole ProprietorNo
Enumeration DateMay 7, 2024
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1073361069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 1236757
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
650 JOEL DR, Fort Campbell, KY 42223
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roman Rogozin's NPI number?

The NPI number for Roman Rogozin is 1073361069. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Roman Rogozin located?

Roman Rogozin practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8400.

What is Roman Rogozin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Roman Rogozin was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.