PAUL ANDREW ROZEBOOM (NPI# 1730172040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730172040 |
| Entity Type | Individual |
| Full Name | PAUL ANDREW ROZEBOOM |
| Credential | M.D. |
| Practice Address |
1 Jack Foster Dr Shenandoah IA 51601-4586 |
| Mailing Address |
300 Pershing Ave Shenandoah IA 51601-2355 |
| Practice Telephone | 7122467400 |
| Practice Fax Number | 7122467334 |
| Mailing Telephone | 7122461230 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
32107 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104778 | Paul Dean Rozeboom | Surgery | 12631 E 17th Ave Rm 6111, Aurora, CO 80045-2527 | 2017-06-21 |
| Street Address |
1 JACK FOSTER DR |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-4586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376037770 | Stephanie Robinette | Nurse Practitioner | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2018-06-19 |
| 1184033300 | Shenandoah Medical Center | Nurse Practitioner | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2014-08-13 |
| 1336567825 | Timothy Joseph Smith | Internal Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2014-04-01 |
| 1427300201 | Shenandoah Medical Center | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2012-10-04 |
| 1770718660 | Michael Theodore Salwitz | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2009-05-20 |
| 1003027939 | Todd Mikael Isaacson | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2007-05-24 |
| 1518055847 | Donald L Bumgarner | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-10-11 |
| 1174537567 | Satya S Thippareddi | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-07-28 |
| 1700818408 | Floyd A Jones | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-07-06 |
| 1710917026 | Heather Lee Babe | Family Medicine | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1366546004 | Adel F Makar | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-12 |
| 1861908089 | Grand View University | Pediatrics | 1200 Grandview Ave, Johnson Wellness Center, Des Moine, IA 50316-1529 | 2017-12-26 |
| 1164602553 | Mercy Clinics, Inc | Pediatrics | 800 E 1st St Ste 2200, Ankeny, IA 50021-2077 | 2007-11-14 |
| 1407036262 | Mercy Clinics Inc | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-11-09 |
| 1588863518 | Sunita Tarun Kumar | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-07-11 |
| 1144309188 | Central Iowa Hospital Corporation | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2006-11-02 |
| 1952409716 | Martin G Meindl | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1841398609 | Tami R Wiegmann | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1821196684 | Jaffar A Shaikh | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.