Active NPI
Robert E. Rosenthal, M.D.
- Emergency Medicine Physician
- Baltimore, MD
National Provider Identifier
1225074651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D55902
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-6704
- Fax
- (410) 328-4124
- NPI assigned
- Jun 22, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D55902 | MD | Primary |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | D55902 | MD |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64793
Baltimore, MD 21264-4793
Phone (410) 328-6704
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041 | Other | MD | BLUE CROSS |
| 283402200 | Medicaid | MD |
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 |
|---|---|---|---|
| D55902 | MD | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1225074651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64793",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644793",
"telephone_number": "410-328-6704",
"fax_number": "410-328-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-6704",
"fax_number": "410-328-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "ROBERT",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D55902",
"primary": true
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "MD",
"license": "D55902",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0041",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283402200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Dorothy Rosenthal, M.D.
- Elana Simon Rosenthal, M.D.
- Liana Shapiro Rosenthal, M.D.
- Mark S Rosenthal, MD
- Masha Rand Rosenthal, MD
- Simone Saltzman Rosenthal, ED.S, NCSP
- Lori Ann Rosenzweig, MPT
- Rosetta Family Pastoral Behavioral Rehabilitation
- Rosie'S Recovery Center, LLC
- Rosie'S Table: a Safe Space for Healing
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.