Roser Park Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROSER PARK MEDICAL CENTER

Practice address

500 10TH Ave S
Saint Petersburg, FL 33701-5214

Phone

(727) 898-4461

Fax

(727) 502-0841

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Frederic Judes Guerrier, M.D.NPI 1174512065

Title

Owner

Phone

(727) 898-4461

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Frederic Judes Guerrier, M.D.

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1174512065
  Medicare reassignment NPD Authorized official
• Marie Nancy Confident Barroso, APRN

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1487189049
  Medicare reassignment NPD
• Daniel A Eckstein, M.D.

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1366704843
  Medicare reassignment NPD
• Shacara D Wilson, M.D.

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1194014621

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1922031939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 10TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337015214",
            "telephone_number": "727-898-4461",
            "fax_number": "727-502-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 10TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337015214",
            "telephone_number": "727-898-4461",
            "fax_number": "727-502-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSER PARK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "GUERRIER",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "JUDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-898-4461",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37093700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gillian Rosenberger
• Pedrita Rosenblatt
• Martin Jerome Rosenblum, M.D.
• Sally Rosendale, MSW, LCSW
• Andrew D. Rosenthal, M.D.
• Brianna Roskamp
• Melinda Roskos, MD, PHD
• Caitlin Ross
• Ryan G Ross, PA-C
• Lisa Michelle Rossbach

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.