Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 27179 | SC |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 2006-01748 | NC |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 2006-01748 | NC |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 200601748 | NC |
NPI | 1124089644 |
---|---|
Provider Name | Dr. Todd S. Jarosz |
First Address | Greenville, NC 27834-3775 |
Second Address | Greenville, NC 27834-3775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2006 |
Last Update Date | 09/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
271798 | (05) | SC |
5905342 | (05) | NC |
G21628 | (02) |