DR. JACK ROSEBERYY (NPI# 1740370675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740370675 |
| Entity Type | Individual |
| Full Name | DR. JACK ROSEBERYY |
| Credential | D.O. |
| Practice Address |
677 Cooper Rd Westerville OH 43081-8962 |
| Practice Telephone | 6145231002 |
| Practice Fax Number | 6145231998 |
| Mailing Telephone | 6145231002 |
| Mailing Fax Number | 6145231998 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2620 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0360756 | 05 | |
| OH | ANTHEM BCBS | 000000010360 | 01 |
| Street Address |
677 COOPER RD |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43081-8962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619963238 | Robert Joseph Klinger | Pediatrics | 677 Cooper Rd, Westerville, OH 43081-8962 | 2005-09-20 |
| 1154888253 | Christina O'donnell | Massage Therapist | 677 Cooper Rd, Westerville, OH 43081-8962 | 2019-02-25 |
| 1972060077 | Jeremy Keesee | Massage Therapist | 677 Cooper Rd, Westerville, OH 43081-8962 | 2019-02-25 |
| 1780183921 | Lindsey Nicole Slaybaugh | Nurse Practitioner | 677 Cooper Rd, Westerville, OH 43081-8962 | 2018-02-02 |
| 1073044327 | Stephen Wiley | Nurse Practitioner | 677 Cooper Rd, Westerville, OH 43081-8962 | 2017-03-27 |
| 1194263269 | Laura Speer Seiler | Nurse Practitioner | 677 Cooper Rd, Westerville, OH 43081-8962 | 2017-02-08 |
| 1558713487 | Caroline Baker | Nurse Practitioner | 677 Cooper Rd, Westerville, OH 43081-8962 | 2016-07-03 |
| 1316312101 | Women and Wellness LLC | Nurse Practitioner | 677 Cooper Rd, Westerville, OH 43081-8962 | 2015-12-06 |
| 1255712170 | Power Ahead Physical Therapy LLC | Physical Therapist | 677 Cooper Rd, Westerville, OH 43081-8962 | 2015-06-16 |
| 1033399514 | Peter Dipiazza | Nurse Practitioner | 677 Cooper Rd, Westerville, OH 43081-8962 | 2007-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917643 | Cheryl Lynne Weitthoff | Home Health Aide | Cheryl Weitthoff, 33 Nadine Place South, Westerville, OH 43081 | 2020-09-18 |
| 1588274088 | Omer Mohamed | Respiratory Therapist, Certified | 5825 Leila Lane Unit 107, Westerville, OH 43081 | 2020-08-09 |
| 1932739174 | Norline E Ford | Counselor | 100 Dorchester Sq. Suite 102, Westerville, OH 43081 | 2020-01-15 |
| 1902444524 | Sabrina Shannon | Behavior Technician | 189 W. Schrock Road, Westerville, OH 43081 | 2019-12-13 |
| 1336786581 | New Horizon Home Health Care, LLC | Home Health | 635 Park Meadow Rd Ste 115, Unit B, Westerville, OH 43081 | 2019-12-06 |
| 1295389740 | Esther A Ogundare | Licensed Practical Nurse | 394 Naples Pl., Westerville, OH 43081 | 2019-08-01 |
| 1922580364 | Judith Luann Haynes | Nurse Practitioner | 620 S. Cleveland Ave, Westerville, OH 43081 | 2018-09-01 |
| 1851879878 | Erin Doone | Physical Therapist | 631 Copeland Mill Rd Ste B, Westerville, OH 43081 | 2018-08-01 |
| 1205312360 | Melissa Anderson | Counselor | 145 W Schrock Road, Westerville, OH 43081 | 2018-07-12 |
| 1407344963 | Hannah Tiberi | Nurse Practitioner | 410 Mary Ave, Westerville, OH 43081 | 2018-04-30 |
| Find all providers in zip 43081 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1447879200 | Amy C Buck | Pediatrics | 30 Kim Ct W, Westerville, OH 43081-2554 | 2020-04-13 |
| 1225522634 | Amanda C Jett | Pediatrics | 575 Westar Xing Ste 101, Westerville, OH 43082-7815 | 2018-06-19 |
| 1770946782 | Anja Skljarevski Kiel | Pediatrics | 540 N Cleveland Ave Ste 200, Westerville, OH 43082-9845 | 2016-03-29 |
| 1215399670 | Benjamin William Cole | Pediatrics | 625 Africa Rd Ste 300, Westerville, OH 43082-9830 | 2016-03-24 |
| 1104989334 | Westerville Pediatric Specialists, Inc. | Pediatrics | 575 Westar Crossing, Suite 101, Westerville, OH 43082-7800 | 2006-12-19 |
| 1770513582 | Rajendrakumari R Gaglani | Pediatrics | 801 Eastwind Dr, Westerville, OH 43081-3303 | 2006-07-04 |
| 1639137383 | Michele V Mahoney | Pediatrics | 444 N. Cleveland Avenue, Suite 210, Westerville, OH 43082 | 2006-05-03 |
| 1669431334 | Lawrence P Heiny | Pediatrics | 540 N Cleveland Ave Ste 250, Westerville, OH 43082-9846 | 2006-03-21 |
| 1619963238 | Robert Joseph Klinger | Pediatrics | 677 Cooper Rd, Westerville, OH 43081-8962 | 2005-09-20 |
| 1477548006 | Mary-lynn Niland | Pediatrics | 507 Executive Campus Dr, Suite 160, Westerville, OH 43082-9838 | 2005-09-20 |
| Find all providers in WESTERVILLE | ||||
| City | WESTERVILLE |
| Zip Code | 43081 |
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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.