MEDICARE: DR. MICHAEL WARD ROSENBERG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	8000A	WY
2	208600000X	Surgery Physician	M-10577	ID
3	208600000X	Surgery Physician	147502	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	W26174	OTHER	WY	NORIDIAN MEDICARE SJMC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P01354282	OTHER	WY	PALMETTO GBA MRR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659345221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL WARD ROSENBERG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 428
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001-0428
Country	:	US
Telephone Number	:	307-739-7690
Fax Number	:	307-739-7644

Provider Business Practice Location Address
First Line	:	555 E BROADWAY AVE
Second Line	:	SUITE #229
City	:	JACKSON
State	:	WY
Zip	:	83001-8640
Country	:	US
Telephone Number	:	307-739-7690
Fax Number	:	307-739-7644

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	01/03/2015

Similar Medicare Providers

1194744235 — TETON COUNTY HOSPITAL DISTRICT
Practice Location Address:

555 E BROADWAY AVE , STE 115
JACKSON, WY
83001-8640

Practice Phone: 307-739-7465
Practice Fax: 307-739-7645

1568493989 — TETON COUNTY HOSPITAL DISTRICT
Practice Location Address:

555 E BROADWAY AVE , SUITE #115
JACKSON, WY
83001-8640

Practice Phone: 307-739-7465
Practice Fax: 307-739-7645

1164414744 — DR. TRAER GARY CAYWOOD O.D.
Practice Location Address:

555 E BROADWAY AVE STE 214
JACKSON, WY
83001-8640

Practice Phone: 307-733-1051
Practice Fax: 307-733-0686

1699752089 — KATHLEEN M LOGAN M.D.
Practice Location Address:

555 E BROADWAY AVE STE 204
JACKSON, WY
83001-8640

Practice Phone: 307-739-4818
Practice Fax: 888-329-5701

1467400747 — GLENN EDWARD BURNETT II MD
Practice Location Address:

555 E BROADWAY AVE STE 201
JACKSON, WY
83001-8640

Practice Phone: 307-733-7222
Practice Fax: 307-733-9720

1669423273 — MAURA JEAN LOFARO M.D.
Practice Location Address:

555 E BROADWAY AVE , SUITE 108
JACKSON, WY
83001-8640

Practice Phone: 307-734-1005
Practice Fax: 307-734-1165

Directions to “ DR. MICHAEL WARD ROSENBERG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.