Provider Demographics
NPI:1619996089
Name:ROSENTHAL, ANNE R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:R
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5612 GOLDEN BEAR DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-3351
Mailing Address - Country:US
Mailing Address - Phone:913-802-2000
Mailing Address - Fax:
Practice Address - Street 1:5612 GOLDEN BEAR DR
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-3351
Practice Address - Country:US
Practice Address - Phone:913-802-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMD118296207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2424939OtherAETNA
MO25770012OtherBLUE CROSS BLUE SHIELD
MO0366300001Medicare NSC
MO2424939OtherAETNA