MICHAEL STEPHEN ROSEN MD NPI 1124123765

NPI Information

NPI: 1124123765
Provider Name: MICHAEL STEPHEN ROSEN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2082 MESQUITE AVE
SUITE A106
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 680-4233
Get Directions

Michael Stephen Rosen, MD is a family medicine in Lake Havasu City, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Michael Stephen Rosen, MD NPI is 1124123765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2082 MESQUITE AVE
SUITE A106
LAKE HAVASU CITY, AZ
ZIP 86403-710
Phone: (928) 680-4233
Fax: (928) 680-6522

The NPI 1124123765 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		30884	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2Z2025	OTHER	ARIZONA	HEALTH NET ID #
2	AZ0767860	OTHER	ARIZONA	BLUE CROSS BLUE SHIELD #
3	D20385	MEDICARE UPIN	ARIZONA
4	DD0594	OTHER	ARIZONA	RAILROAD MEDICARE GROUP #
5	744632	MEDICAID	ARIZONA
6	Z102302	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	MEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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