Active NPI
Paul M Rosenthal, DO
- Family Medicine Physician
- Warrensburg, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34369
- Practice address
- 403 Burkarth Road
Warrensburg, MO 64093 - Phone
- (660) 747-2500
- Fax
- (660) 747-8455
- NPI assigned
- Apr 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34369 | WI | Primary |
Addresses
Primary practice location
403 Burkarth Road
Warrensburg, MO 64093
Mailing address
1745 Dousman St
Suite 101
Green Bay, WI 54303-3245
Phone (920) 494-9661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34198300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070830000496 | MO | Practitioner - Family Practice | 2163310392 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harrison County Community Hospital District
Practice addresses (Care Compare)
2600 Miller St
Bethany, MO 64424-2701
Hospital & facility affiliations
- Hedrick Medical Center
- Wright Memorial Hospital
- Pershing Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Current | Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Family Medicine | Current | Accepting new patients |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Harrison County Community Hospital District | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Current | Accepting new patients | |
| Harrison County Community Hospital District | Family Medicine | Current | Accepting new patients |
| Harrison County Community Hospital District | Family Medicine | Current | Accepting new patients |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Golden Valley Emergency Physicians, LLC | Past | Accepting new patients | |
| Medevac Midamerica Inc | Past | Accepting new patients |
Locations
2600 Miller St
Bethany, MO 64424
Phone (660) 425-2211
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Bethany, MO
- NPI 1154645745
Family Medicine, MO
-
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
MO
-
- Primary Care Clinic/Center
- Brookfield, MO
- NPI 1982612461
MO
-
- Rural Health Clinic/Center
- Eagleville, MO
- NPI 1114348083
-
- Rural Health Clinic/Center
- Pattonsburg, MO
- NPI 1184423329
-
- Medicare Defined Swing Bed Hospital Unit
- Bethany, MO
- NPI 1265512917
-
- Family Medicine Physician
- Pattonsburg, MO
- NPI 1285427104
Family Medicine
-
- Emergency Medicine Physician
- Trenton, MO
- NPI 1851572234
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
Hospital
-
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1528020039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 DOUSMAN ST",
"address_2": "SUITE 101",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543033245",
"telephone_number": "920-494-9661",
"fax_number": "920-491-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BURKARTH ROAD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "64093",
"telephone_number": "660-747-2500",
"fax_number": "660-747-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "PAUL",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "34369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34198300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.