John A Rothschild, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD012782E Issued in PA

Practice address

2623 Lakeside Dr
Harveys Lake, PA 18618-3231

Phone

(570) 814-9007

Fax

(877) 991-6605

NPI assigned

Oct 6, 2006

Last updated

Aug 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renal Consultants of Wyoming Valley PC

  • Nephrology Physician
  • Wilkes Barre, PA
  • NPI 1659399111
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1003903667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 LAKESIDE DR",
            "city": "HARVEYS LAKE",
            "state": "PA",
            "postal_code": "186183231",
            "telephone_number": "570-814-9007",
            "fax_number": "877-991-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 LAKESIDE DR",
            "city": "HARVEYS LAKE",
            "state": "PA",
            "postal_code": "186183231",
            "telephone_number": "570-814-9007",
            "fax_number": "877-991-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSCHILD",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD012782E",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD012782E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000711933",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Martin, OTR/L
• Catherine Olean
• Kathy Parancih
• Paul J Pavlikoski, OT
• Wendy Lee Rager, COTA/L
• Christine Elizabeth Schultz, BCBA
• Amanda Shaver
• Courtney Stone, BCBA
• Lisa Strobel

• Internal Medicine Physician in Harveys Lake, PA
• Providers in Harveys Lake, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.