Individual provider Active NPI

Justin Garth Rosemore, D.O.

  • Gastroenterology Physician
  • Catonsville, MD
National Provider Identifier
1861491425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
H0055317 Issued in MD
Practice address
2 W Rolling Crossroads
Suite 206
Catonsville, MD 21228-6208
Phone
(443) 801-7151
Fax
(410) 585-1619
NPI assigned
Jul 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X H0055317 MD Primary

Addresses

Primary practice location

2 W Rolling Crossroads
Suite 206
Catonsville, MD 21228-6208

Mailing address

6209 Green Meadow Way
Baltimore, MD 21209-3300
Phone (410) 585-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H0055317MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861491425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 GREEN MEADOW WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093300",
            "telephone_number": "410-585-0027",
            "fax_number": "410-585-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W ROLLING CROSSROADS",
            "address_2": "SUITE 206",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286208",
            "telephone_number": "443-801-7151",
            "fax_number": "410-585-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMORE",
        "first_name": "JUSTIN",
        "middle_name": "GARTH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "H0055317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.