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ROGUE MEDICAL LLC
NPI 1265298400
Physician Assistant - Medical in Phoenix, OR

Active since February 26, 2024
205 N PHOENIX RD STE 430, PHOENIX, OR 97535(541) 778-4517(541) 833-0995 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rogue Medical Llc NPPES

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

ROGUE MEDICAL LLC (NPI 1265298400) is a healthcare organization registered as a medical in Phoenix, Oregon and active in the NPI registry since February 2024. The organization lists Ben Douglas Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1265298400
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameROGUE MEDICAL LLC
Location Address205 N PHOENIX RD STE 430Phoenix, OR 97535-9108
Mailing Address205 N Phoenix RdPhoenix, OR 97535-9101 · (541) 778-4517 · Fax (541) 833-0995
Phone(541) 778-4517
Fax(541) 833-0995
Organization SubpartNo
Authorized OfficialBen Douglas JohnsonOwner · (541) 778-4517
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1265298400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
205 N PHOENIX RD STE 430, Phoenix, OR 97535
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

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

MR. BEN DOUGLAS JOHNSON PA-C
Physician Assistant (Medical)
205 N PHOENIX RD STE 430
PHOENIX, OR 97535
Jackson County (541) 778-4517

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 Rogue Medical LLC's NPI number?

The NPI number for Rogue Medical LLC is 1265298400. It was assigned to this organization in the NPPES registry on February 26, 2024.

Where is Rogue Medical LLC located?

Rogue Medical LLC is located at 205 N Phoenix Rd Ste 430, Phoenix, OR 97535. The listed phone number is (541) 778-4517.

What is Rogue Medical LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Rogue Medical LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Rogue Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rogue Medical LLC was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.