Active NPI
Elizabeth Gaye Rosen, M.D.
- Adult Medicine Physician
- Orlando, FL
National Provider Identifier
1659588325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- ME 80973
- Practice address
- 6000 Turkey Lake Rd Ste 209
Orlando, FL 32819-4206 - Phone
- (407) 648-5252
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ME 80973 | FL | Primary |
Addresses
Primary practice location
6000 Turkey Lake Rd Ste 209
Orlando, FL 32819-4206
Mailing address
8501 Verese CT
Orlando, FL 32836-8755
Phone (407) 996-2845
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6000 Turkey Lake Rd
Suite 208
Orlando, FL 32819-4206
Phone (833) 355-5252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 80973 | FL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastcoast Medical Network Inc | Current | Accepting new patients |
Locations
6000 Turkey Lake Rd
Ste 208
Orlando, FL 32819
Phone (407) 648-5252
6000 Turkey Lake Rd
Ste 209
Orlando, FL 32819
Phone (407) 648-5252
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Orlando, FL
- NPI 1013128420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659588325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8501 VERESE CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328368755",
"telephone_number": "407-996-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 TURKEY LAKE RD STE 209",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328194206",
"telephone_number": "407-648-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "ELIZABETH",
"middle_name": "GAYE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ME 80973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.