Physician Compare National (NPI:1043285042)

HEALTHCARE PROVIDER: LEWIS ROSENBLATT D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043285042
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486846276
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101012000879
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSENBLATT
	Individual professional last name
Provider First Name	LEWIS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
	Individual professional's medical school
Graduation Year	1970
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4621 S SHRANK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	INDEPENDENCE
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	640555554
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y