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

Ryan Willard Rogers, PA-C

Individual provider Physician Assistant · NPI 1124325907

Ryan Willard Rogers, PA-C is a Physician Assistant in Osage Beach, Missouri. Qualified in 2010, 16 years ago. Practices with Lake Regional Health System, a 131-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Licensed in
MO
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1029 Nichols Rd Ste 201
Osage Beach, MO 65065-3008
Phone: (573) 302-7138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 755 Cowan Dr, Lebanon, MO 65536-4629 — (417) 532-2508
  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 458-8899

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2011003943 (MO)

Record details

NPI number1124325907
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2011
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address54 Hospital Dr, Osage Beach, MO 65065-3050

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Lake Regional Health System — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Osage Beach