Kenneth M Rosenzweig, MD, PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

C6198 Issued in AR

Legal business name

KENNETH M ROSENZWEIG, MD, PA

Doing business as

Orthopaedic Spine & Sports

Practice address

8907 Kanis Rd
Suite 330
Little Rock, AR 72205-6449

Phone

(501) 975-5575

Fax

(501) 975-5634

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Kenneth M Rosenzweig, MDNPI 1750369922

Title

President

Phone

(501) 975-5575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orthopaedic Spine & Sports Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth M Rosenzweig, MD

  • Specialist
  • Little Rock, AR
  • NPI 1750369922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1659508810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242180",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230041",
            "telephone_number": "501-975-5575",
            "fax_number": "501-975-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 KANIS RD",
            "address_2": "SUITE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056449",
            "telephone_number": "501-975-5575",
            "fax_number": "501-975-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M ROSENZWEIG, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "ROSENZWEIG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-975-5575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AR",
            "license": "C6198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180112002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Spine & Sports",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Marie Kennedy, MD
• Leisa Kennedy, M.S. CCC-SLP
• Marcus Peter Kennedy, MD
• Robert Bruce Kennedy, M.D.
• Kenneth E Pearson DDS PA
• Philip Kenney, MD
• Kimberly Danielle Kenser, MSW
• Brittany Kent, PT, DPT
• Meghan Kenyon, LAC
• Kathleen Ann Keough

• Sports Medicine (Orthopaedic Surgery) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.