MARK JACOB ROSENBERG (NPI# 1356379564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356379564 |
| Entity Type | Individual |
| Full Name | MARK JACOB ROSENBERG |
| Credential | M.D. |
| Practice Address |
2300 E Parham Rd Richmond VA 23228-3118 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 8042647808 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101047611 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | CIGNA | 1440250 | 01 |
| VA | SOUTHERN HEALTH SERVICES | 79136 | 01 |
| VA | GROUP PTAN | C05698 | 01 |
| VA | 005811708 | 05 | |
| VA | AETNA LIFE | 5526500 | 01 |
| VA | MAMSI | 254731 | 01 |
| VA | SENTARA | 45891 | 01 |
| VA | AETNA HMO | 5526500 | 01 |
| VA | RAILROAD MEDICARE | 080125856V | 01 |
| VA | ANTHEM BCBS OF VA | 204503 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
| 1518193218 | Mark Lewis Rosenberg | Internal Medicine | 972 Oakdale Rd Ne, Atlanta, GA 30307-1272 | 2009-06-08 |
| 1740467596 | Mark Jeffrey Rosenberg | Specialist | 2031c Hospital Drive, Sedro Woolley, WA 98284 | 2008-01-23 |
| 1598869687 | Mark Richard Rosenberg | Dermatology | 20950n Tatum Blvd 350, Phoenix, AZ 85050-4256 | 2006-09-11 |
| 1871507582 | Mark Jay Rosenberg | Dentist | 3754 Arcturas Ct, Sparks, NV 89436-2812 | 2006-07-28 |
| 1720057573 | Mark Rosenberg | Emergency Medicine | 4800 N. Federal Hwy., Suite B300, Boca Raton, FL 33431-3409 | 2006-03-15 |
| 1184601510 | Mark Stephen Rosenberg | Family Medicine | 2405 E Fourteen Mile Rd, Macomb Medical Clinic PC, Sterling Heights, MI 48310 | 2005-12-28 |
| 1184622045 | Mark S. Rosenberg | Emergency Medicine | 38 N Ridge Rd, Denville, NJ 07834-9629 | 2005-07-13 |
| 1316283948 | Mark Ross Rosenberg | Pharmacist | 1613 Glenn Blvd Sw, Fort Payne, AL 35968-3531 | 2012-12-31 |
| 1992851380 | Mark Howard Rosenberg | Dentist | 14333 Laurel Bowie Rd, Suite 309, Laurel, MD 20708-1126 | 2007-01-26 |
| Street Address |
2300 E PARHAM RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23228-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164495537 | Martha T Litos | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2006-02-08 |
| 1609252279 | Ann Elizabeth Marcaccini | Physician Assistant | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2015-08-06 |
| 1851774590 | Stephanie Arnold | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2015-06-30 |
| 1154704880 | Jenna M. Wingard | Physician Assistant | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2015-06-30 |
| 1700015591 | Tyler W Holt | Physician Assistant | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2009-07-14 |
| 1144481219 | Rafia Samdani | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2008-06-21 |
| 1811029036 | Lora L. Bofill | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2007-03-12 |
| 1073649448 | Rahul P Wadnerkar | Internal Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2007-02-27 |
| 1942358957 | Patient First | Non-Pharmacy Dispensing Site | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2007-01-08 |
| 1831293489 | Patient First Richmond Medical Group Pllc | Family Medicine | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992356976 | Nimos Trans LLC | Non-emergency Medical Transport (VAN) | 5608 Tumbleweed Cr. Apt (h), Henrico, VA 23228 | 2019-09-21 |
| 1245890433 | Laura Mary Walton | Counselor | 5500 Staples Mill Road, Richmond, VA 23228 | 2019-06-19 |
| 1841859121 | Rachel S Ford | Behavior Technician | 1640 E. Parham Road, Richmond, VA 23228 | 2019-06-10 |
| 1932766631 | Nathan Ellis | Behavior Technician | 1640 East Parham Road, Richmond, VA 23228 | 2019-05-29 |
| 1922545268 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4008 E Parham Rd., Henrico, VA 23228 | 2017-01-25 |
| 1205371663 | Simple Solutions Psychiatry | Community/Behavioral Health | 4321 Kanipe Ct, Richmond, VA 23228 | 2016-12-21 |
| 1417406224 | Dan A Kniffen Lcsw LLC | Counselor | 4100 East Parham Road, Suite B, Henrico, VA 23228 | 2016-09-22 |
| 1316334394 | Bobbi Southard | Specialist/Technologist | 8301 Hungary Spring Road, Richmond, VA 23228 | 2015-04-17 |
| 1265836050 | Crystal Mcfaddin | Nurse Practitioner | 4301 East Parham Road, Henrico, VA 23228 | 2014-10-22 |
| 1013352376 | Pooja Rao | Internal Medicine | 4100 New Hermitage Dr, Henrico, VA 23228 | 2013-04-30 |
| Find all providers in zip 23228 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1518590611 | Titilayo Oluwakemi Akinpelu | Family Medicine | 19710 Terrace Cliff Ct, Richmond, TX 77407-1920 | 2020-02-17 |
| 1154977742 | Lesley Chanell Lagrue | Family Medicine | 9114 Andes Ridge Ln, Richmond, TX 77407-1692 | 2019-08-10 |
| 1285291898 | Np Care LLC | Family Medicine | 1618 Pope Ave, Richmond, VA 23227-3754 | 2019-05-20 |
| 1639653025 | Ruchita S Patel Md Pllc | Family Medicine | 19303 Mission Cove Ln, Richmond, TX 77407-2559 | 2018-09-20 |
| 1548777915 | Kudirat Folorunsho Sunmonu | Family Medicine | 6930 Chapel Meadow Ln, Richmond, TX 77407-3833 | 2018-01-05 |
| 1114450624 | Jacqueline Britz | Family Medicine | 4730 E Southside Plaza, Richmond, VA 23224 | 2017-04-11 |
| 1255862926 | Andrew Lyell | Family Medicine | 3204 Parkwood Ave, Richmond, VA 23221-3421 | 2017-03-24 |
| 1255782546 | Clarkson Health LLC | Family Medicine | 4821 Old National Rd E, Suite A, Richmond, IN 47374-2651 | 2016-06-28 |
| 1326498650 | Emily Nicole Lynch | Family Medicine | 3591 Dorothy Ln, Richmond, IN 47374-6749 | 2016-06-17 |
| Find all providers in RICHMOND | ||||
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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.