1043218415 NPI number — MR. WILLIAM N ROSENTHAL M.D.F.A.C.S.

Table of content: MR. WILLIAM N ROSENTHAL M.D.F.A.C.S. (NPI 1043218415)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043218415 NPI number — MR. WILLIAM N ROSENTHAL M.D.F.A.C.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROSENTHAL
Provider First Name:
WILLIAM
Provider Middle Name:
N
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.F.A.C.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043218415
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 843330
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64184
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-663-5900
Provider Business Mailing Address Fax Number:
913-663-5902

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10740 NALL AVENUE
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-663-5900
Provider Business Practice Location Address Fax Number:
913-663-5902
Provider Enumeration Date:
07/11/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207WX0107X , with the licence number:  36399 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 180011639 . This is a "MEDICARE RAILROAD PIN" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 180041080 . This is a "RAILROAD MEDICARE PIN" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 14593019 . This is a "BLUECROSS KANSAS CITY" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 495486 . This is a "BLUE CROSS KANSAS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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