Rowan Tree Medical PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ROWAN TREE MEDICAL PA

Practice address

2500 NE 15TH Ave
Wilton Manors, FL 33305-1310

Phone

(954) 533-5382

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Myron Davidson, M.D.NPI 1821078841

Title

President

Phone

(305) 766-4512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Myron Gy'Ton Davidson, M.D.

  • Internal Medicine Physician
  • Wilton Manors, FL
  • NPI 1821078841
  Medicare reassignment Care Compare group Authorized official
• Jennifer Christy Bartczak, M.D.

  • Internal Medicine Physician
  • Wilton Manors, FL
  • NPI 1275504284
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1568617165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NE 15TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051310",
            "telephone_number": "954-533-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE 15TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051310",
            "telephone_number": "954-533-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWAN TREE MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "MYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-766-4512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica A Ronyak, MHC
• Jennifer Rosario, MS
• Bryan Rose
• Kimberly Ross, NP
• Dino Victor Rossi, RPH, AAHIVP
• RSL Counseling of South Florida LLC
• Daniel Maxwell Rubin, LPC, LMHC
• Jennifer J. Rudnick, M.S., CCC-SLP
• Erica L Rusie, PHARMD
• Kyryl Rutman

• Infectious Disease Physician in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.