DR. GARY MARC ROTHENBERG (NPI# 1619072105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619072105 |
| Entity Type | Individual |
| Full Name | DR. GARY MARC ROTHENBERG |
| Credential | DPM |
| Practice Address |
24 Frank Lloyd Wright Drive Ann Arbor MI 48109-9484 |
| Mailing Address |
700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349987400 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901002606 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 000903 | GA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
24 FRANK LLOYD WRIGHT DRIVE |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-9484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457384067 | Regents of The University of Michigan | Orthopaedic Surgery | 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48105 | 2006-07-08 |
| 1245732791 | Jamie Wisniewski | Physical Therapy Assistant | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 | 2018-03-01 |
| 1164924627 | Amanda Renea Eggleston | Physical Therapy Assistant | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 | 2018-03-01 |
| 1942736194 | Kelsey Lauren Johnson | Physician Assistant | 24 Frank Lloyd Wright Drive, Domino's Farms, Lobby A, Ann Arbor, MI 48105-9484 | 2017-05-10 |
| 1801291315 | Progressive Sleep, Plc | Family Medicine | 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48106-0326 | 2014-10-27 |
| 1033524335 | Regents of The University of Michigan | Pediatrics | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105 | 2014-06-25 |
| 1033524764 | Daniel Shelden | Internal Medicine | 24 Frank Lloyd Wright Drive, Lobby G, Suite 1500, Ann Arbor, MI 48106 | 2014-06-20 |
| 1427327618 | Karen Engfehr | Specialist/Technologist | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106-0391 | 2011-12-19 |
| 1245521848 | Elizabeth Anne Jeffery | Nurse Practitioner | 24 Frank Lloyd Wright Drive, Lobby M Level 2, Ann Arbor, MI 48105-9484 | 2011-04-29 |
| 1578881041 | Mari Paz Castanedo Tardan | Dermatology | 24 Frank Lloyd Wright Drive, Lobby H Suite 2350, Ann Arbor, MI 48105-9484 | 2010-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598984189 | Brian William Daley | Podiatrist | 2232 S Main St, Ste 405, Ann Arbor, MI 48103-6938 | 2007-04-24 |
| 1821184284 | Liborio Leo Santoro Jr. | Podiatrist | 2440 W Stadium Blvd, Ann Arbor, MI 48103 | 2006-10-05 |
| 1952311599 | Lori Ann Sheldon | Podiatrist | 2550 Dexter Rd, Ann Arbor, MI 48103-2702 | 2006-08-08 |
| 1770508350 | Regents of The University of Michigan | Podiatrist | 400 E Eisenhower Pkwy, Suite B, Ann Arbor, MI 48108 | 2006-07-13 |
| 1154319325 | United Footcare Pa | Podiatrist | 3768 Packard St, Ste A, Ann Arbor, MI 48108-2090 | 2005-10-11 |
| 1710428115 | Senior Podiatry, Pllc | Podiatrist | 2232 S Main St, Ste 405, Ann Arbor, MI 48103-6938 | 2017-03-17 |
| 1033510102 | Garneisha Matriece Torrence | Podiatrist | 24 Frank Lloyd Wright Dr, Lobby C, Ann Arbor, MI 48105-9484 | 2014-09-09 |
| 1003164062 | Sari Priesand | Podiatrist | 24 Frank Lloyd Wright Dr, Lobby C Suite 1300, Ann Arbor, MI 48105-9484 | 2012-08-23 |
| 1952666745 | Liborio L Santoro Dpm PC | Podiatrist | 2440 W Stadium Blvd, Ann Arbor, MI 48103-3847 | 2012-07-09 |
| 1275890600 | Brian Matthew Schmidt | Podiatrist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2012-04-23 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on DR. GARY MARC ROTHENBERG.
| 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.