DR. JEFFREY PETER ROSEN (NPI# 1063483980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063483980 |
Entity Type | Individual |
Full Name | DR. JEFFREY PETER ROSEN |
Credential | MD |
Practice Address |
25 W Crystal Lake St Suite 200 Orlando FL 32806-4475 |
Practice Telephone | 4072542500 |
Practice Fax Number | 4072542557 |
Mailing Telephone | 4072542500 |
Mailing Fax Number | 4072542557 |
Enumeration Date | 2006-01-30 |
Last Update Date | 2020-05-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
0044077 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
1508949017 | Jeffrey Rosen | Dentist | 5166 Neshaminy Blvd, Bensalem, PA 19020-1132 | 2006-10-20 |
1255612842 | Jeffrey Rosen | Pharmacist | 129 Somerset St, Somerville, NJ 08876-2814 | 2011-09-08 |
1598895898 | Jeffrey M. Rosen | Optometrist | 224 Sunrise Mall, Massapequa, NY 11758-4340 | 2007-03-06 |
1467518597 | Jeffrey Michael Rosen | Dentist | 3131 College Heights Blvd, Suite 2100, Allentown, PA 18104-4812 | 2007-01-01 |
1356376206 | Jeffrey David Rosen | Obstetrics & Gynecology | 700 N Broad St, Suite 202, Elizabeth, NJ 07208-2310 | 2006-07-11 |
1780615989 | Jeffrey H. Rosen | Internal Medicine | 1550 Barkley Cir, Fort Myers, FL 33907-4539 | 2006-07-05 |
1972555217 | Jeffrey Bruce Rosen | Family Medicine | 370 Minorca Ave, 2nd Floor, Primecare of Coral Gables, Coral Gables, FL 33134 | 2006-05-16 |
1073570271 | Jeffrey Rosen | Surgery | 2801 Finley Rd, Suite 220, Downers Grove, IL 60515-1038 | 2006-05-01 |
1245226414 | Jeffrey Rosen | Orthopaedic Surgery | 5645 Main St, 4th Floor South, Flushing, NY 11355-5045 | 2005-09-23 |
Street Address |
25 W CRYSTAL LAKE ST SUITE 200 |
City | ORLANDO |
State | FL |
Zip Code | 32806-4475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144830860 | Ramona Melissa Sweat | Physical Therapy Assistant | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2020-08-06 |
1184242943 | Carlomario Arrascue | Specialist/Technologist | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2020-07-08 |
1003438458 | Francesca Marie Lavezzoli-nelson | Specialist/Technologist | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2020-05-08 |
1326519067 | Paul Graham Jr. | Physical Therapy Assistant | 25 W Crystal Lake St, Orlando, FL 32806-4475 | 2018-12-06 |
1740739895 | Zachary A Rogan | Physician Assistant | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2016-09-30 |
1942668181 | Sarah Baller | Specialist/Technologist | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2016-02-02 |
1821461542 | Andrew Beverly | Physician Assistant | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2015-11-03 |
1437575875 | Audra Jourdan | Specialist/Technologist | 25 W Crystal Lake St, #200, Orlando, FL 32806-4475 | 2014-03-10 |
1972946515 | Sarah R Earleywine | Specialist/Technologist | 25 W Crystal Lake St, #200, Orlando, FL 32806-4475 | 2013-04-13 |
1851668016 | Leslie H Sand | Physician Assistant | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2011-11-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
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Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699944017 | Daryl Christopher Osbahr | Orthopaedic Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2008-02-29 |
1073629234 | Thomas F Winters Jr. | Orthopaedic Surgery | 1405 S Orange Ave Ste 601, Orlando, FL 32806 | 2006-08-21 |
1225144488 | Thomas F Winters Jr Md Pa | Orthopaedic Surgery | 1405 S Orange Ave Ste 601, Orlando, FL 32806 | 2006-08-21 |
1881613081 | Bryan Lee Reuss | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-07-19 |
1316918246 | Samuel Smith Blick | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-01-30 |
1366413213 | Randy S Schwartzberg | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-01-30 |
1902805575 | Brian Keith Vickaryous | Orthopaedic Surgery | 2501 N Orange Ave, Suite 340, Orlando, FL 32804-4603 | 2005-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.