Active NPI
Larry A. Rosen, M.D.
- Hematology & Oncology Physician
- Independence, MO
National Provider Identifier
1124099684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- R7864
- Practice address
- 19550 E 39TH St S
Ste 400
Independence, MO 64057-2303 - Phone
- (816) 698-8290
- Fax
- (816) 698-8291
- NPI assigned
- Jan 31, 2006
- Last updated
- Apr 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | R7864 | MO | Primary |
| Hematology & Oncology Physician | 207RH0003X | 04-29598 | KS |
Addresses
Primary practice location
19550 E 39TH St S
Ste 400
Independence, MO 64057-2303
Mailing address
19550 E 39TH St S
Ste 400
Independence, MO 64057-2303
Phone (816) 698-8290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100387530A | Medicaid | KS | |
| 201221611 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-29598 | KS | MD | Hematology & Oncology Physician |
| R7864 | MO | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Cancer Center, LLC | Hematology & Oncology | Past | Accepting new patients |
Interoperability endpoints
- larry.rosen@hca2.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Medical Oncology Physician
- Overland Park, KS
- NPI 1003864471
Hematology & Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1124099684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S",
"address_2": "STE 400",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572303",
"telephone_number": "816-698-8290",
"fax_number": "816-698-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S",
"address_2": "STE 400",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572303",
"telephone_number": "816-698-8290",
"fax_number": "816-698-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "LARRY",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "R7864",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KS",
"license": "04-29598",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100387530A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201221611",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.