Provider Demographics
NPI:1063513554
Name:ROSENSTEIN, ALEXANDER D (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:D
Last Name:ROSENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 MACCORKLE SEAVE 900
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1223
Mailing Address - Country:US
Mailing Address - Phone:304-388-3580
Mailing Address - Fax:304-388-3585
Practice Address - Street 1:415 MORRIS STREET,
Practice Address - Street 2:SUITE 201
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301
Practice Address - Country:US
Practice Address - Phone:304-206-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV25141207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM202000040Medicaid
NM44370768Medicaid
TX81158SOtherBC/BS
TX141007101OtherFIRSTCARE COMMERCIAL
OK200058000AMedicaid
TX166813902Medicaid
TX166813903Medicaid
TX141007102Medicaid
TX87916ZOtherHMO BLUE
TX8R7014OtherBCBSTX
TX166813904Medicaid
NM202000040OtherPRESBYTERIAN COMMERCIAL
TX450686CE02700OtherSECTION 1011
NMB128OtherTRIWEST
TXP00660870Medicare PIN
OK200058000AMedicaid
NM44370768Medicaid
NM202000040Medicaid
TX141007101OtherFIRSTCARE COMMERCIAL