DR. MARK DAVID ROTHMAN M.D. - NPI 1891774840

Q: What is Mark Rothman's NPI number?

The NPI number for Mark Rothman is 1891774840. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Q: What is Mark Rothman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Rothman was last updated on March 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Mark David Rothman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK DAVID ROTHMAN M.D. (NPI 1891774840) is an individual specialist in Raleigh, North Carolina, licensed in North Carolina (31375) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891774840

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MARK DAVID ROTHMANCredential: M.D.

Location Address3604 BUSH ST, 2ND FLOORRaleigh, NC 27609-7511

Mailing Address3604 Bush St, 2nd FloorRaleigh, NC 27609-7511 · (919) 876-7807 · Fax (919) 876-8823

Phone(919) 876-7807

Fax(919) 876-8823

Sole ProprietorNo

Enumeration DateJanuary 10, 2006

Last NPPES UpdateMarch 24, 2011

✔ NPI 1891774840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 31375

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3604 BUSH ST, Raleigh, NC 27609

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Other Identifiers 4

Other73447NY · Bcbs Provider Number

Medicaid6973447NC

Medicare ID-Type Unspecified210045NC

Medicare UPIND62808NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark David Rothman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.