Active NPI
Michael Wayne Rosenberg, M.D.
- Surgery Physician
- Tampa, FL
National Provider Identifier
1932213865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0034471
- Practice address
- 12880 Commodity PL
Care of United Surgical Assistants, Inc.
Tampa, FL 33626-3101 - Phone
- (877) 872-5788
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0034471 | FL | Primary |
Addresses
Primary practice location
12880 Commodity PL
Care of United Surgical Assistants, Inc.
Tampa, FL 33626-3101
Mailing address
PO Box 21686
Care of United Surgical Assistants, Inc.
Tampa, FL 33622-1686
Phone (877) 872-5788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065391800 | Medicaid | FL |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0034471 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Hma Physician Management, LLC | Past | Accepting new patients | |
| Muskogee Medical and Surgical Associates, LLC | Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2065/brand/5/csg/1/fhir/r4
Organizations & group practices 2
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.
-
dba Lehigh Medical Group
- Podiatrist
- Lehigh Acres, FL
- NPI 1457652828
-
- Family Medicine Physician
- Muskogee, OK
- NPI 1184858375
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1932213865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21686",
"address_2": "CARE OF UNITED SURGICAL ASSISTANTS, INC.",
"city": "TAMPA",
"state": "FL",
"postal_code": "336221686",
"telephone_number": "877-872-5788",
"fax_number": "866-698-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12880 COMMODITY PL",
"address_2": "CARE OF UNITED SURGICAL ASSISTANTS, INC.",
"city": "TAMPA",
"state": "FL",
"postal_code": "336263101",
"telephone_number": "877-872-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0034471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065391800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.