Active NPI
Danielle Rosner Desa, D.O.
- Rheumatology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- UO3980
- Practice address
- 4343 W Newberry Rd
Gainesville, FL 32607-2817 - Phone
- (352) 378-5173
- Fax
- (352) 375-2330
- NPI assigned
- Apr 11, 2014
- Last updated
- Aug 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | UO3980 | FL | |
| Rheumatology Physician | 207RR0500X | UO3980 | FL | Primary |
Addresses
Primary practice location
4343 W Newberry Rd
Gainesville, FL 32607-2817
Mailing address
4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4582
Phone (352) 416-1082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103472400 | Medicaid | FL |
Other names 1
- Danielle Rosner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simed Health LLC | Current | Accepting new patients | |
| Simedhealth LLC | Rheumatology | Current | Accepting new patients |
Locations
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200
4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1366861874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 NW 8TH AVE",
"address_2": "SUITE 2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054582",
"telephone_number": "352-416-1082",
"fax_number": "352-373-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 W NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072817",
"telephone_number": "352-378-5173",
"fax_number": "352-375-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESA",
"first_name": "DANIELLE",
"middle_name": "ROSNER",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-11",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "UO3980",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "UO3980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103472400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "ROSNER",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.