Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25482 | IA |
N | 111NI0900X | Internist | 25482 | IA |
N | 207RC0000X | Internist - Cardiovascular Disease | 25482 | IA |
Y | 207RI0011X | Interventional Cardiology | 25482 | IA |
NPI | 1134100514 |
---|---|
Provider Name | James D Rossen |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 17/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0239772 | (05) | IA |
23977 | WELLMARK BCBS (01) | IA |
A03071 | (02) |