Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roman Rogozin, PA

Individual provider Physician Assistant · NPI 1073361069

Roman Rogozin, PA is a Physician Assistant in Fort Campbell, Kentucky. Licensed in Tennessee. Registered with an NPI since 2024.

Licensed in
TN
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1236757 (TN)

Record details

NPI number1073361069
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 7, 2024
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

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