Provider Demographics
NPI:1114089224
Name:ROSMAN, JONATHAN PAUL (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:PAUL
Last Name:ROSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1830
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-1830
Mailing Address - Country:US
Mailing Address - Phone:970-845-8059
Mailing Address - Fax:303-284-7782
Practice Address - Street 1:175 MAIN ST STE G-1
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-8116
Practice Address - Country:US
Practice Address - Phone:970-845-8059
Practice Address - Fax:303-284-7782
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2025-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO421262084P0802X, 2084S0012X, 2084F0202X, 2084P0800X, 2084P0802X, 2084S0012X
CAA441022084P0802X
CAA440122084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA17139Medicare UPIN