KENNETH ROTHSTEIN (NPI# 1790753317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790753317 |
| Entity Type | Individual |
| Full Name | KENNETH ROTHSTEIN |
| Credential | MD |
| Practice Address |
3400 Civic Center Blvd Fl 4 Philadelphia PA 19104 |
| Mailing Address |
3400 Civic Center Blvd Fl 4 Philadelphia PA 19104-5127 |
| Practice Telephone | 2153498222 |
| Mailing Telephone | 2153498222 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD044179E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD044179E | PA | Allopathic & Osteopathic Physicians |
| N | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
MD044179E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001237178 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Spruce St, 2 Dulles, Philadelphia, PA 19104 | 2153498222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750760096 | Kenneth Rothstein | Pharmacist | 26838 Nautical Ln, Valencia, CA 91355-1632 | 2015-05-19 |
| Street Address |
3400 CIVIC CENTER BLVD FL 4 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932755071 | Jessica Lauren Dell'aquila | Physician Assistant | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2019-08-14 |
| 1205397700 | Nicole Massetti | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2019-03-27 |
| 1326508227 | Puhan He | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2019-03-25 |
| 1679096531 | Caitlin Leigh Reynolds | Nurse Practitioner | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2017-07-24 |
| 1851719694 | Brett Chatman | Surgery | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104 | 2014-03-30 |
| 1205196599 | Ravy K. Vajravelu | Internal Medicine | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2012-05-21 |
| 1740549088 | Matthew James Ziegler | Internal Medicine | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2012-05-07 |
| 1669751657 | Sara Attalla | Internal Medicine | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2011-08-09 |
| 1992098859 | Stacey Beth Prenner | Internal Medicine | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2011-05-25 |
| 1538395843 | Rania A Habib | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2009-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013150796 | Richard Mao Wu | Internal Medicine | 132 S. 10th Street, Main Bldg, Ste 430, Philadelphia, PA 19107 | 2009-04-11 |
| 1811148430 | Kian Makipour | Internal Medicine | 3401 North Broad St, Philadelphia, PA 19130 | 2008-10-01 |
| 1982865127 | Shivan Jatin Mehta | Internal Medicine | 423 Guardian Dr, Blockley Hall 1137, Philadelphia, PA 19104-4865 | 2008-06-20 |
| 1730204355 | Rahul Anand Nathwani | Internal Medicine | 132 S 10th St Ste 480, Philadelphia, PA 19107-5244 | 2007-03-20 |
| 1386729705 | Blake Gastroenterology Associates, LLC | Internal Medicine | 6827-31 Germantown Ave, Philadelphia, PA 19119-2113 | 2006-10-25 |
| 1942393830 | John Patrick Lynch | Internal Medicine | 415 Curie Blvd, 600 Crb, Philadelphia, PA 19104-4306 | 2006-10-02 |
| 1962428433 | Keith Joseph Buhl | Internal Medicine | 1403 Rhawn Street, Philadelphia, PA 19111-2430 | 2006-07-15 |
| 1366476020 | Michael J Rosner | Internal Medicine | 4242 Cottman Ave, Philadelphia, PA 19135-1118 | 2006-07-10 |
| 1558300152 | Xiaoli Ma | Internal Medicine | 121 N 9th St, Philadelphia, PA 19107-2410 | 2006-06-06 |
| 1275571945 | Oleg Volchonok | Internal Medicine | 11400 Bustleton Ave, Philadelphia, PA 19116-2815 | 2006-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on KENNETH ROTHSTEIN.
| 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.