THOMAS A ROTHENBACH (NPI# 1245333780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245333780 |
| Entity Type | Individual |
| Full Name | THOMAS A ROTHENBACH |
| Other Name | DR. P A ROTHENBACH |
| Credential | M.D. |
| Practice Address |
1500 Cooper St Fort Worth TX 76104-2710 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 6828857080 |
| Practice Fax Number | 6828857085 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
24953 | OK | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
K5393 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200091680A | 05 | |
| TX | 202455601 | 05 | |
| TX | TEXAS STATE BOARD OF MEDICAL EXAMINERS | K5393 | 01 |
| Street Address |
1500 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747653 | Luciana Rochetti | Physician Assistant | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-08-15 |
| 1821696493 | Leekelli Kennedy | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-10-15 |
| 1871109124 | Caitlyn R Praytor | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-09-22 |
| 1497389126 | Chelsea Barrow | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-03-03 |
| 1386281871 | Emily Susan Larkin | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-12-04 |
| 1508416629 | Christa Standefer | Family Medicine | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1972153112 | Alexis Courtney | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1366099376 | Haley Tullos | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-23 |
| 1538716139 | Amanda Rae Macdonald | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-20 |
| 1730731498 | Erin Walkley | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740481399 | Patrick B Thomas | Surgery | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-05-30 |
| 1063634038 | Kyriacos Panayides | Surgery | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-05-02 |
| 1669453940 | Timothy L Black | Surgery | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-11-14 |
| 1063493831 | James P Miller | Surgery | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-11-09 |
| 1346221116 | Jose L Iglesias | Surgery | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-11-09 |
| 1538140710 | Pediatric Surgical Associates of Ft. Worth, P. A. | Surgery | 901 7th Ave, Suite 210, Fort Worth, TX 76104-2722 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255775169 | Natasha Corbitt | Surgery | 1935 Medical District Dr Ste D2000, Dallas, TX 75235-7701 | 2013-04-22 |
| 1821327362 | South Texas Health Alliance | Surgery | 528 North Union Street, Suite 250, New Braunfels, TX 78130 | 2009-12-11 |
| 1356519565 | Children's Physician Services of South Texas | Surgery | 3533 S Alameda St Ste 302, Corpus Christi, TX 78411-1721 | 2008-02-11 |
| 1821271503 | Charles E. Baldwin Md | Surgery | 18866 Stone Oak Pkwy # 103-21, San Antonio, TX 78258-4180 | 2007-12-17 |
| 1801845318 | Ambrosio Hernandez IIi | Surgery | 1120 E Ridge Rd, Mcallen, TX 78503-5411 | 2006-05-10 |
| 1477516201 | Jane Franklin Goldthorn | Surgery | 4102 22nd Pl, Lubbock, TX 79410-1122 | 2006-04-11 |
| 1528049723 | Charles Thomas Black | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2005-11-07 |
| 1578554895 | William W Spurbeck | Surgery | 5340 El Paso Dr Ste M, El Paso, TX 79905-2837 | 2005-11-04 |
| 1104820554 | Charles Eugene Baldwin | Surgery | 502 Madison Oak Drive, Suite 330, San Antonio, TX 78258-4298 | 2005-06-13 |
| 1649870304 | Parkhill Surgery Center Plano, LLC | Surgery | 7000 W Plano Pkwy, Plano, TX 75093-8466 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.