Thomas J Rozwadowski, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A104716 Issued in CA

Practice address

555 7TH St
Ba, CA 93556-0808

Phone

(760) 957-3203

NPI assigned

Jan 12, 2007

Last updated

Sep 22, 2009By 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 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Georgetown University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment Care Compare group NPD
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1013675016
  Medicare reassignment NPD
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1457012940
  NPD
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1548921034
  NPD
• Chase Dennis Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Rosa, CA
  • NPI 1033152350
  NPD (past)
• Tidal Emergency Physicians LLC

  • Emergency Medicine Physician
  • Neptune, NJ
  • NPI 1649222407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tallahassee Medical Center Inc

  dba HCA Florida Capital Hospital

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1790732303
  Care Compare affiliation

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1508917105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BLUE RIDGE RD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552703",
            "telephone_number": "904-327-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 7TH ST",
            "city": "BA",
            "state": "CA",
            "postal_code": "935560808",
            "telephone_number": "760-957-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZWADOWSKI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 100274",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A104716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.

Verify at the official NPI Registry.