Provider Demographics
NPI:1124089644
Name:JAROSZ, TODD S (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:S
Last Name:JAROSZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2390 HEMBY LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3775
Mailing Address - Country:US
Mailing Address - Phone:252-752-9794
Mailing Address - Fax:252-752-9795
Practice Address - Street 1:2390 HEMBY LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3775
Practice Address - Country:US
Practice Address - Phone:252-752-9794
Practice Address - Fax:252-752-9795
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-01748207XP3100X, 207XS0117X
NC200601748207XX0801X
SC27179207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC271798Medicaid
NC5905342Medicaid
NC5905342Medicaid
G21628Medicare UPIN
SCSC40187628Medicare PIN