DR. ROBERT GLENN ROSEN (NPI# 1336110832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336110832 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GLENN ROSEN |
| Credential | DPM |
| Practice Address |
850 Garden St Titusville FL 32796-3411 |
| Practice Telephone | 3212673233 |
| Practice Fax Number | 3212675141 |
| Mailing Telephone | 3212673233 |
| Mailing Fax Number | 3212675141 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO2465 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE RAILROAD | P00179443 | 01 |
| FL | BLUE CROSS BLUE SHEILD | 65433 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396240107 | Robert Hsu-wei Rosen | Student in an Organized Health Care Education/Training Program | Boston Childrens Hospital, Hunnewell Building, Pavilion 129, Housestaff Lounge, 300 Longwood Ave, Boston, MA 02115 | 2018-03-26 |
| 1023395159 | Robert Paul Rosen | Counselor | 114 Windfield Dr, Savannah, GA 31406-3006 | 2011-11-03 |
| 1275714776 | Robert Arthur Rosen | Internal Medicine | 3 Marcia Ln, Spring Valley, NY 10977-2018 | 2007-11-27 |
| 1164636817 | Robert C Rosen | Dentist | 90 Hutchinson Blvd, Scarsdale, NY 10583-5701 | 2007-05-10 |
| 1265560734 | Robert S Rosen | Social Worker | 11715 Administration Drive, Suite 101, Saint Louis, MO 63146 | 2007-02-28 |
| 1588677447 | Robert M Rosen | Dentist | 10 Parrott Mill Road, Chatham, NJ 07928-2744 | 2006-08-14 |
| 1184688673 | Robert Alan Rosen | Internal Medicine | 4929 Sw 148th Ave, Southwest Ranches, FL 33330-2400 | 2006-04-13 |
| 1104890912 | Robert J Rosen | Ophthalmology | 10400 Vista Del Sol Drive Suite 203, El Paso, TX 79925 | 2006-02-16 |
| 1497750723 | Robert J Rosen | Anesthesiology | 300 Pinellas St, Clearwater, FL 33756-3892 | 2005-06-14 |
| 1083818736 | Robert Rosen | Optometrist | 5385 W Centinela Ave, Los Angeles, CA 90045-2003 | 2007-06-14 |
| Street Address |
850 GARDEN ST |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851440614 | Rgr Ventures LLC | Podiatrist | 850 Garden St, Titusville, FL 32780-3411 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851440614 | Rgr Ventures LLC | Podiatrist | 850 Garden St, Titusville, FL 32780-3411 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
Please comment or provide details below to improve the information on DR. ROBERT GLENN ROSEN.
| 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.