Seymour R. Rosen, M.D.P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SEYMOUR R. ROSEN, M.D.P.A.

Practice address

4591 Berklie Dr
Tallahassee, FL 32308-5861

Phone

(850) 272-4222

Fax

(850) 575-4503

NPI assigned

Apr 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Seymour R Rosen, M.D.

Title

President/Physician

Phone

(850) 272-4222

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1003080292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 BERKLIE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085861",
            "telephone_number": "850-272-4222",
            "fax_number": "850-575-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 BERKLIE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085861",
            "telephone_number": "850-272-4222",
            "fax_number": "850-575-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR R. ROSEN, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "SEYMOUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "850-272-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.