Active NPI
Mark Rosen, P.A.
- Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109199
- Practice address
- 8128 Granada Blvd
Orlando, FL 32836-5332 - Phone
- (561) 715-5357
- NPI assigned
- Jan 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109199 | FL | Primary |
Addresses
Primary practice location
8128 Granada Blvd
Orlando, FL 32836-5332
Mailing address
8895 N Military TRL Ste 201C
West Palm Beach, FL 33410-6212
Phone (561) 715-5357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.04 of 100
- Quality
- 87.35
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Emergency Physician Services Inc | Physician Assistant | Current | Accepting new patients |
| Emergency Physicians of the Rockies, PC | Current | Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Physician Assistant | Current | Accepting new patients |
Locations
1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
Physician Assistant
-
- Emergency Medicine Physician
- Fort Collins, CO
- NPI 1174570717
-
- Emergency Medicine Physician
- North Miami Beach, FL
- NPI 1053645465
-
- Emergency Medicine Physician
- Bushnell, FL
- NPI 1326619727
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1215393210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8895 N MILITARY TRL STE 201C",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106212",
"telephone_number": "561-715-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8128 GRANADA BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365332",
"telephone_number": "561-715-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "MARK",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-06",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Rosemont Health Care Associates LLC (Rosewood Health and Rehabilitation Center)
- Rosen Medical Center, Inc.
- Candice J Rosen, ARNP
- Elizabeth Gaye Rosen, M.D.
- Marie Elizabeth Rosen, LCSW
- Benjamin Natan Rosenberg, BEHAVIOR TECHNICIAN
- Jennifer K Rosenberg
- Marcy S Rosenberg, MD
- Stephen J Rosenberg, MD
- Sarah Dyan Rosenburg, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.