Roger Kerry Schwartzberg, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS0003519 Issued in FL

Practice address

13020 Park Blvd
Oakhurst Medical Clinic
Seminole, FL 33776-3639

Phone

(727) 393-3404

Fax

(727) 393-4814

NPI assigned

Jul 10, 2006

Last updated

Dec 21, 2011By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1396779021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 PARK BLVD",
            "address_2": "OAKHURST MEDICAL CLINIC",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763639",
            "telephone_number": "727-393-3404",
            "fax_number": "727-393-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 PARK BLVD",
            "address_2": "OAKHURST MEDICAL CLINIC",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763639",
            "telephone_number": "727-393-3404",
            "fax_number": "727-393-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZBERG",
        "first_name": "ROGER",
        "middle_name": "KERRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS0003519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2376545",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "284244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Edward Scheitler, DDS, MPH
• Wade Schindler
• Gabriella Nikol Schmitz, DMD
• David M Schumann, P.T.
• Takeshanicole Mary Schwartz, APRN
• Kelly L Scolaro, PHARMD
• Sean L. Sharp, D.C., P.a.
• Sean L. Sharp, D.C., P.a.
• Seating Specialist (Seating Specialist LLC)
• Carol Sellman, RRT

• Internal Medicine Physician in Seminole, FL
• Providers in Seminole, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.