DR. JACK MICHAEL ROSENBERG (NPI# 1104912450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104912450 |
| Entity Type | Individual |
| Full Name | DR. JACK MICHAEL ROSENBERG |
| Credential | MD |
| Practice Address |
325 E Eisenhower Pkwy Suite 100 Ann Arbor MI 48108-3364 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349367175 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 4301051728 | MI | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4301051728 | MI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 4301051728 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3069240 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982941282 | Jack Stuart Rosenberg | Dentist | 145 Spring St, 6th Floor, New York, NY 10012-5224 | 2013-01-08 |
| 1790748556 | Jack A. Rosenberg | Pediatrics | 5920 N. E. Ray Circle, Suite 220, Hillsboro, OR 97124-6313 | 2006-04-11 |
| 1780869891 | Jack D Rosenberg | Dentist | 951 Broken Sound Pkwy, 185, Boca Raton, FL 33487-3507 | 2008-01-08 |
| 1639362148 | Jack J Rosenberg | Dentist | 6045 Burke Centre Pkwy, #202, Burke, VA 22015-3751 | 2007-08-20 |
| Street Address |
325 E EISENHOWER PKWY SUITE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315960 | Kimberly Chin Bialik | Psychologist | 325 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5721 | 2005-06-09 |
| 1164049094 | Richard Edmund Harris | Acupuncturist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2020-06-26 |
| 1639664147 | Mary B Dumas | Occupational Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-06-27 |
| 1043713506 | Linda Hogan Krus | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-12 |
| 1609379148 | Amber Richardson | Occupational Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-12 |
| 1588166219 | Patricia Moulis | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-08 |
| 1730682477 | Katie Duffey Shea | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-08 |
| 1235631037 | Nina Strang | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-07 |
| 1518469360 | Lori Dimitroff Graf | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-07 |
| 1053813097 | Kari Katerberg | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871991943 | Mikio H Hiraga | Anesthesiology | 4801 Doral Dr, Ann Arbor, MI 48108-8536 | 2014-12-05 |
| 1841636065 | Ryan Thomas Brunner | Anesthesiology | Cardiovascular Center, Rm. 4172, 1500 E. Medical Center, Ann Arbor, MI 48109 | 2013-05-14 |
| 1396086708 | Catherine Ann Dowling | Anesthesiology | 3110 Fairhaven Ct, Ann Arbor, MI 48105-9665 | 2013-03-10 |
| 1366738213 | Zeena Husain | Anesthesiology | 5301 East Huron River, Anesthesia Department, Ann Arbor, MI 48106 | 2011-06-20 |
| 1871887588 | Richard Arthur Pollock | Anesthesiology | 3044 Signature Blvd, Apt G, Ann Arbor, MI 48103-6915 | 2011-05-31 |
| 1104145739 | Jessica Newman | Anesthesiology | 317 Burr Oak Dr, Ann Arbor, MI 48103-2079 | 2010-05-21 |
| 1649430026 | John Gabriel Hagen | Anesthesiology | 712 W Huron St Apt 107, Ann Arbor, MI 48103-4261 | 2008-06-10 |
| 1487833588 | Regents of The University of Michigan | Anesthesiology | 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 | 2007-10-25 |
| 1124148523 | Paul Edward Hilliard | Anesthesiology | 325 E Eisenhower Parkway, Ste 100, Ann Arbor, MI 48108-5721 | 2007-03-30 |
| 1174642474 | Goodarz M Golmirzaie | Anesthesiology | 325 Eisenhower Parkway, Suite 100, Ann Arbor, MI 48108-5721 | 2007-03-28 |
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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.