Healthcare Provider Details

I. General information

NPI: 1124089644
Provider Name (Legal Business Name): TODD S. JAROSZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2006
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 RIVERVIEW AVE
PINEVILLE KY
40977-1452
US

IV. Provider business mailing address

2390 HEMBY LN
GREENVILLE NC
27834-3775
US

V. Phone/Fax

Practice location:
  • Phone: 606-654-4758
  • Fax: 606-654-2658
Mailing address:
  • Phone: 252-752-9794
  • Fax: 252-752-9795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number27179
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number200601748
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number2006-01748
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number2006-01748
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number51109
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: