Michael S Rosen PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30884 Issued in AZ

Legal business name

MICHAEL S ROSEN PC

Practice address

2082 Mesquite Ave
Suite A106
Lake Havasu City, AZ 86403-6710

Phone

(928) 680-4233

Fax

(928) 680-6522

NPI assigned

Dec 11, 2007

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael S Rosen, MDNPI 1124123765

Title

Owner

Phone

(928) 680-4233

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Stephen Rosen, MD

  • Family Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1124123765
  NPD (past) Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1366625584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2820",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864052820",
            "telephone_number": "928-680-4233",
            "fax_number": "928-680-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 MESQUITE AVE",
            "address_2": "SUITE A106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036710",
            "telephone_number": "928-680-4233",
            "fax_number": "928-680-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S ROSEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-680-4233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "30884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744632",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ",
            "identifier": "AZ0767860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD0594",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z2025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stacey Lee Meyer, APRN
• Midwest Internal Medicine PLLC
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• Milemarkers Therapy
• Milemarkers Therapy
• Milemarkers Therapy Inc

• Family Medicine Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.