MEDICARE: DR. TODD S. JAROSZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XP3100X	Pediatric Orthopaedic Surgery Physician	2006-01748	NC
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	2006-01748	NC
3	207XX0801X	Orthopaedic Trauma Physician	200601748	NC
4	207X00000X	Orthopaedic Surgery Physician	27179	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124089644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD S. JAROSZ M.D.

Provider Business Mailing Address
First Line	:	2390 HEMBY LN
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-3775
Country	:	US
Telephone Number	:	252-752-9794
Fax Number	:	252-752-9795

Provider Business Practice Location Address
First Line	:	2390 HEMBY LN
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-3775
Country	:	US
Telephone Number	:	252-752-9794
Fax Number	:	252-752-9795

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2006
Last Update Date	:	10/09/2014

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