Basic Information
| Provider Information | |||||||||
| NPI: | 1336167147 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROWANE | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20800 HARVARD ROAD | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | HIGHLAND HILLS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2163582370 | ||||||||
| FaxNumber: | 2162014536 | ||||||||
| Practice Location | |||||||||
| Address1: | 27100 CHARDON ROAD | ||||||||
| Address2: | STE 150 | ||||||||
| City: | RICHMOND HTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4409436350 | ||||||||
| FaxNumber: | 4403470930 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2006 | ||||||||
| LastUpdateDate: | 03/25/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 34-005632 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 34.005632 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 000000135260 | 01 | OH | ANTHEM | OTHER | 0932610 | 05 | OH | MEDICAID | 80044876 | 01 | OH | RAILROAD MEDICARE | OTHER |