Michael R Rossow

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

23926 4TH Ave
Siren, WI 54872-8312

Phone

(715) 791-8077

NPI assigned

Aug 6, 2021

Last updated

Aug 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1790459303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 PIKE BEND RD",
            "city": "WEBSTER",
            "state": "WI",
            "postal_code": "548938610",
            "telephone_number": "715-791-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23926 4TH AVE",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548728312",
            "telephone_number": "715-791-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSOW",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Park Dental Clinic (Siren Dental Clinic)
• Sheldon Arnold Olesen, D.D.S.
• John D Peterson, PHARMD.
• Tiffany D Peterson, PHARMD
• Jodi Reed, RN
• School District of Siren
• Debra Jill Severson, MS LPC
• Siren Chiropractic, LLC
• Siren Family Eyecare, LLC
• St. Croix Chippewa Indians of Wi (Siren Pharmacy)

• Home Health Agency in Siren, WI
• Providers in Siren, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.