Lawrence Rosen (NPI# 1629064118, PAC ID# 1153468327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1629064118 |
| PAC ID by PECOS | 1153468327 |
| Professional Enrollment ID | I20110128000193 |
| Full Name | Lawrence Rosen |
| Organization Legal Name | NORTHEAST ALABAMA UROLOGY CENTER, P.C. |
| Address |
201 Henry Swrd Jacksonville AL 36265-3324 |
| Phone Number | 2564351871 |
| Gender | M |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1979 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 7911027164 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010146 | RMC JACKSONVILLE |
| 010038 | STRINGFELLOW MEMORIAL HOSPITAL |
| 010078 | NORTHEAST ALABAMA REGIONAL MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 201 Henry Swrd, Jacksonville, AL 36265-3324 | 2564351871 | NORTHEAST ALABAMA UROLOGY CENTER, P.C. |
| Organization Legal Name | NORTHEAST ALABAMA UROLOGY CENTER, P.C. |
| Physicians | 1 |
| Street Address |
201 HENRY SWRD |
| City | JACKSONVILLE |
| State | AL |
| Zip | 36265-3324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry L Bonds | Optometry | 601 Pelham Rd S, Jacksonville, AL 36265-2731 | |
| Myrtell L Cantrell | Physician Assistant | Southern Np Associates LLC | 410 Wilson Swdr, Jacksonville, AL 36265-2754 |
| Robin L Bauer | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 1622 Church Ave Se, Jacksonville, AL 36265-3200 |
| Stephen Phillip Herring | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 1622 Church Ave Se, Jacksonville, AL 36265-3200 |
| David G Chandler | Optometry | David G Chandler Od PC | 1640 Pelham Rd S, Jacksonville, AL 36265-3312 |
| John O Brown | Otolaryngology | 1460 1st Ave Sw, Jacksonville, AL 36265-3329 | |
| Eduardo Villeda | Internal Medicine | 1701 Pelham Rd S, Suite B, Jacksonville, AL 36265-3353 | |
| Russell L Ingram | Family Medicine | 1460 2nd Ave Sw, Suite A, Jacksonville, AL 36265-3358 | |
| James R Yates | Internal Medicine | 1460 2nd Ave Sw A, Jacksonville, AL 36265-3358 | |
| Tahir Siddiq | Internal Medicine | Self Recovery LLC | 1701 Pelham Rd S, Jacksonville, AL 36265-3369 |
| Find all physicians in zip 36265 | |||
| City | JACKSONVILLE |
| Zip Code | 36265 |
| Specialty | UROLOGY |
| City + Specialty | JACKSONVILLE + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.