EVAN G ROSEN M D P A (NPI# 1932333911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932333911 |
| Entity Type | Organization |
| Organization Name | EVAN G ROSEN M D P A |
| Other Organization Name | LIGHTHOUSE UROLOGY ASSOCIATES |
| Practice Address |
2141 S Alternate A1a Suite 420 Jupiter FL 33477-4072 |
| Practice Telephone | 5617435580 |
| Practice Fax Number | 5617435595 |
| Mailing Telephone | 5617435580 |
| Mailing Fax Number | 5617435595 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-07-09 |
| Authorized Official Name | DR. EVAN G ROSEN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5617435580 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lighthouse Urology Associates | Doing Business As Name - Organization |
| Street Address |
2141 S ALTERNATE A1A SUITE 420 |
| City | JUPITER |
| State | FL |
| Zip Code | 33477-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167408 | Louis Joseph Raso | Specialist | 2141 S Alternate A1a, Suite 110, Jupiter, FL 33477-4072 | 2005-07-13 |
| 1023206216 | Jason Stefan Chan | Physician Assistant | 2141 S Alternate A1a, Suite 420, Jupiter, FL 33477-4072 | 2007-10-12 |
| 1497872881 | Falk Prosthetics & Orthotics, Inc. | Orthotist | 2141 S Alternate A1a, Suite 130, Jupiter, FL 33477-4072 | 2007-03-23 |
| 1265593024 | Jupiter Concierge Family Practice | Family Medicine | 2141 S Alternate A1a, 200, Jupiter, FL 33477-4072 | 2006-12-13 |
| 1104938026 | Eric Quick | Physical Therapist | 2141 S Alternate A1a, Suite 300, Jupiter, FL 33477 | 2006-08-31 |
| 1538114590 | David Charles Rosenberg | Family Medicine | 2141 S Alternate A1a, Jupiter, FL 33477-4072 | 2006-05-24 |
| 1891789723 | Andrew Lerner | Podiatrist | 2141 S Alternate A1a, Suite 120, Jupiter, FL 33477-5085 | 2005-09-07 |
| 1174517429 | Karen E Driscoll | Internal Medicine | 2141 S Alternate A1a, Suite 100, Jupiter, FL 33477-4063 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576513 | Sanctuary Healthcare LLC | Home Health | 100 Front Street, Suite 300, Jupiter, FL 33477 | 2020-04-09 |
| 1538503669 | Aimee Bunyea | Pharmacist | 1118 11th Court, Jupiter, FL 33477 | 2013-04-19 |
| 1447592571 | Blue Water Doctors of Jupiter, LLC | Family Medicine | 2151 South Alternate A1a, Unit 650, Jupiter, FL 33477 | 2013-03-27 |
| 1477806115 | Brad D. Simons, Md,phd, Pa | Ophthalmology | 2141 Alternate A1a S, Suite 210, Jupiter, FL 33477 | 2012-10-18 |
| 1952688392 | Matthew J Harris | Orthopaedic Surgery | 108 Intracoastal Pointe Drive, Suite 300, Jupiter, FL 33477 | 2011-11-14 |
| 1366720682 | Physical Therapy Institute and Aquatic Rehab, Inc. | Physical Therapist | 17380 N Highway A1a Alternate, Suite 305, Jupiter, FL 33477 | 2011-08-03 |
| 1770714578 | Payal P Chokshi | Dentist | 759 Parkway Street, Suite# 103, Jupiter, FL 33477 | 2009-07-29 |
| 1205089174 | Priscilla J Zuckerberg | Speech-Language Pathologist | 110 Front St Ste 300, Jupiter, FL 33477 | 2008-10-23 |
| 1083866727 | Deanna Talmud | Social Worker | 2044 Staysail Lane, Jupiter, FL 33477 | 2008-10-14 |
| 1417123290 | Gayle Gerardi Pulice | Massage Therapist | 927 North A1a, Suite A105, Jupiter, FL 33477 | 2008-05-01 |
| Find all providers in zip 33477 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422054 | Florida Urology Associates Inc | Urology | 240 W Indiantown Rd Ste 107, Jupiter, FL 33458-3548 | 2017-12-13 |
| 1326380460 | Mark Reinhart Kaufman | Urology | 19010 Loxahatchee River Rd, Jupiter, FL 33458-2412 | 2013-03-26 |
| 1336453877 | Daniel J Caruso, M.d., P.a | Urology | 221 Greenwich Cir Ste 107, Jupiter, FL 33458-2892 | 2010-07-26 |
| 1679744205 | Frank Andrew Celigoj | Urology | 210 Jupiter Lakes Blvd Ste 4106a, Jupiter, FL 33458-7190 | 2008-03-24 |
| 1194755033 | Adult Urology Clinic Pa | Urology | 1002 Old Dixie Hwy., Suite 104, Jupiter, FL 33458-5700 | 2006-07-04 |
| 1578031985 | South Florida Urology Institute LLC | Urology | 210 Jupiter Lakes Blvd Ste 4106a, Jupiter, FL 33458-7190 | 2018-11-05 |
| 1235508185 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-22 |
| 1447629936 | 21st Century Oncology LLC | Urology | 2141 S Highway A1a Alt, Suite 420, Jupiter, FL 33477-4072 | 2015-09-15 |
| 1629446992 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-03 |
| 1144481615 | Daniel Joseph Caruso | Urology | 210 Jupiter Lakes Boulevard, Building 4000, Suite 104, Jupiter, FL 33458 | 2008-06-18 |
| Find all providers in JUPITER | ||||
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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.