Basic Information
Provider Information
NPI: 1558628495
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROSEN
FirstName: JANE
MiddleName: KAREN
NamePrefix: DR.
NameSuffix:  
Credential: M.D./PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 E MARKET ST
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522452633
CountryCode: US
TelephoneNumber: 3193390300
FaxNumber:  
Practice Location
Address1: 500 E MARKET ST
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522452633
CountryCode: US
TelephoneNumber: 3193390300
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/17/2012
LastUpdateDate: 01/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD-43044IAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X43044IAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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