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

Mr. Roger E Ordal, CSA

Individual provider Surgical Physician Assistant · NPI 1366635963

Mr. Roger E Ordal, CSA is a Surgical Physician Assistant in Madisonville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2007

Practice location Address checks out

200 Clinic Dr
Madisonville, KY 42431-1661
Phone: (270) 326-6116
Fax: (270) 326-6118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence SA026 (KY)

Record details

NPI number1366635963
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedAugust 27, 2007
Last updated in NPPESAugust 27, 2007

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