Provider Demographics
NPI:1922042696
Name:ROSEN, HOWARD M (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:M
Last Name:ROSEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2790 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 1250
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3260
Mailing Address - Country:US
Mailing Address - Phone:816-421-3700
Mailing Address - Fax:816-421-1654
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 1250
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3260
Practice Address - Country:US
Practice Address - Phone:816-421-3700
Practice Address - Fax:816-421-1654
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2010-11-30
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Provider Licenses
StateLicense IDTaxonomies
MOR7J21207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203143409Medicaid
110056196OtherRAILROAD MEDICARE
MO16692018OtherBCBS OF KANSAS CITY
MO4020660Medicare PIN
MO203143409Medicaid
MO16692018OtherBCBS OF KANSAS CITY