Lewis Rosenblatt, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R7685 Issued in MO

Practice address

4621 S Shrank Dr
Suite B
Independence, MO 64055-5453

Phone

(816) 229-3200

Fax

(816) 503-8325

NPI assigned

Feb 22, 2006

Last updated

Nov 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rosenblatt Clinic LLC

  • Addiction Medicine (Family Medicine) Physician
  • Independence, MO
  • NPI 1306395645
  Authorized official Same address or phone
• Missouri Foot and Ankle Clinics, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Blue Springs, MO
  • NPI 1255435897
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1043285042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 S SHRANK DR",
            "address_2": "SUITE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555453",
            "telephone_number": "816-229-3200",
            "fax_number": "816-503-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 S SHRANK DR",
            "address_2": "SUITE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555453",
            "telephone_number": "816-229-3200",
            "fax_number": "816-503-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carson Root
• Michelle Renee Roseblock, PHARMD
• Larry A. Rosen, M.D.
• Laura Rosenberg, PHARM D
• Rosenblatt Clinic LLC
• Rosewood Health and Rehab Center, LLC
• Rosewood Operator LLC (Rosewood Rehab and Healthcare Center)
• Aimee Danielle Ross, MSW
• Allana M Ross
• Tina Michelle Ross, FNP-C

• Family Medicine Physician in Independence, MO
• Providers in Independence, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.