DR. JACK ROSEBERYY D.O.
NPI 1740370675
Pediatrics in Westerville, OH

Active since October 13, 2006
677 COOPER RD, WESTERVILLE, OH 43081(614) 523-1002(614) 523-1998 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Roseberyy D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK ROSEBERYY D.O. (NPI 1740370675) is an individual pediatrics provider in Westerville, Ohio, licensed in Ohio (2620) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1740370675
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JACK ROSEBERYYCredential: D.O.
Location Address677 COOPER RDWesterville, OH 43081-8962
Mailing Address677 Cooper RdWesterville, OH 43081-8962 · (614) 523-1002 · Fax (614) 523-1998
Fax(614) 523-1998
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1740370675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OH · 2620
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
677 COOPER RD, Westerville, OH 43081

Other Identifiers 3

Medicaid0360756OH
Medicare UPINA82163OH
Other000000010360OH · Anthem Bcbs

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
677 COOPER RD
WESTERVILLE, OH 43081
Physical Therapist
677 COOPER RD
WESTERVILLE, OH 43081
Nurse Practitioner (Women's Health)
677 COOPER RD
WESTERVILLE, OH 43081
Pediatrics
677 COOPER RD
WESTERVILLE, OH 43081
Acupuncturist
677 COOPER RD
WESTERVILLE, OH 43081
Massage Therapist
677 COOPER RD
WESTERVILLE, OH 43081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Roseberyy's NPI number?

The NPI number for Jack Roseberyy is 1740370675. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Jack Roseberyy located?

Jack Roseberyy practices at 677 Cooper Rd, Westerville, OH 43081. The listed phone number is (614) 523-1002.

What is Jack Roseberyy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jack Roseberyy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.