Individual provider · Type 1 NPI

Roman Rogozin, PA

Physician Assistant · Fort Campbell, KY

NPI number 1073361069 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-8400 Map

Mailing address

879 Terraceside Cir
Clarksville, TN 37040-6175

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1236757 (TN)

Physician Assistant: 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, orde…

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About NPI 1073361069

Roman Rogozin, PA's National Provider Identifier is 1073361069, issued on May 7, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Campbell, KY. The record was last updated on Dec 15, 2025.