John David Rosdeutscher, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

30390 Issued in TN

Practice address

1187 Old Hickory Blvd Ste 200
Brentwood, TN 37027-4240

Phone

(615) 866-2233

Fax

(615) 750-5968

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1124017900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 OLD HICKORY BLVD STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274240",
            "telephone_number": "615-866-2233",
            "fax_number": "615-750-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 OLD HICKORY BLVD STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274240",
            "telephone_number": "615-866-2233",
            "fax_number": "615-750-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSDEUTSCHER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "30390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "6032349",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3716120",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510486",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis K. Roman, D.M.D.
• Emily Roman
• Guillermo Romero Parra Sr.
• Brenda Romero-Herrera, M.S.
• Ronald a Hunter DDS PC
• Patricia A. Rose, MSN, APN, FNP-BC
• Landon Roseberry
• Jayme Alan Rosenberger
• Amy Rosinski, LMT
• Ashton Ross

• Plastic Surgery Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.