ROSEMARY JANE OAKS (DO) – Dermatology Physician, NPI 1104403609

ROSEMARY JANE OAKS (DO) is a healthcare provider. based in Largo, Florida. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 34.017852 (OH). The NPI Number for ROSEMARY JANE OAKS (DO) is 1104403609

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ROSEMARY JANE OAKS (DO)
NPI
1104403609
Phone
(727) 588-5200
Address
201 14th St SW
Enumeration Date
29 March 2021
Last Update Date
12 June 2025

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6147771200
Graduation Year
2021 (5 years ago)
PAC ID
6103225354
Group Practice PAC ID
7214086115
Professional Enrollment ID
I20250721001416
Address ID
OH430262496HI3853XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for ROSEMARY JANE OAKS (DO)

  • 201 14th St SW

    Largo, FL 337703133

    Phone: (727) 588-5200

    Type: Location

  • 3853 TRUEMAN CT

    HILLIARD, OH 430262496

    Phone: (614) 777-1200

    Type: Mailing

  • 201 14TH ST SW

    LARGO, FL 337703199

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250721001416IDermatologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33770)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214086115View full group profile
NameSpecialtyState
D E R M A T O L O G YOH
D E R M A T O L O G YOH
D E R M A T O L O G YOH
Physician AssistantOH
Physician AssistantOH
D E R M A T O L O G YOH
D E R M A T O L O G YAL

Reviews

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Frequently asked questions

Where can patients find ROSEMARY JANE OAKS (DO)'s NPI?
You can confirm ROSEMARY JANE OAKS (DO) with NPI 1104403609; it appears in the national provider directory.
Is ROSEMARY JANE OAKS (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ROSEMARY JANE OAKS (DO) work in?
You can think of ROSEMARY JANE OAKS (DO) as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place ROSEMARY JANE OAKS (DO)?
The snapshot lists Largo, Florida for ROSEMARY JANE OAKS (DO); download NPPES for the complete set.
What if Largo, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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