Organization Active NPI

Edward S. Rosenthal, MD., LLC

  • Internal Medicine Physician
  • Garfield Heights, OH
National Provider Identifier
1992802474
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-053841 Issued in OH
Legal business name
EDWARD S. ROSENTHAL, MD., LLC
Practice address
12000 McCracken Rd
Suite 453
Garfield Heights, OH 44125-2933
Phone
(216) 581-4900
Fax
(216) 581-7370
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Edward Steven Rosenthal, M.D.
Title
Sole Owner
Phone
(216) 581-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35-053841 OH Primary

Addresses

Primary practice location

12000 McCracken Rd
Suite 453
Garfield Heights, OH 44125-2933

Mailing address

12000 McCracken Rd
Suite 453
Garfield Heights, OH 44125-2933
Phone (216) 581-4900

Other identifiers 1

IdentifierTypeStateIssuer
2725000MedicaidOH

National Provider Directory

National Provider Directory

Locations

12000 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 261-7970

12000 McCracken Rd
Ste 453
Garfield Hts, OH 44125
Phone (216) 581-4900

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1992802474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "SUITE 453",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252933",
            "telephone_number": "216-581-4900",
            "fax_number": "216-581-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "SUITE 453",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252933",
            "telephone_number": "216-581-4900",
            "fax_number": "216-581-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S. ROSENTHAL, MD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "216-581-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-053841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2725000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.