Michael a Rothbaum MD LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01060465A Issued in IN

Legal business name

MICHAEL A ROTHBAUM MD LLC

Doing business as

Rothbaum Eye and Vision

Practice address

18077 River Rd Ste 103
Noblesville, IN 46062-8311

Phone

(317) 773-5153

NPI assigned

Aug 8, 2017

Last updated

Dec 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Adam Rothbaum, MDNPI 1154387611

Title

Physician

Phone

(317) 319-9205

Specialties & licenses 1

Addresses

Other names 1

• Rothbaum Eye and Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Rothbaum, M.D.

  • Ophthalmology Physician
  • Noblesville, IN
  • NPI 1154387611
  Medicare reassignment NPD Authorized official
• Charles Reeder Wesley, M.D.

  • Ophthalmology Physician
  • Noblesville, IN
  • NPI 1891798229
  NPD
• Matthew M Boyer, MD

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1346245453
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1013432210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BRYN MAWR DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462604735",
            "telephone_number": "317-319-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 RIVER RD STE 103",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628311",
            "telephone_number": "317-773-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A ROTHBAUM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "ROTHBAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "317-319-9205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01060465A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rothbaum Eye and Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rothbaum Eye and Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Rose Mendel, PMHNP-BC
• Lilliana Mendez, RBT
• Jade N Meroney, R.N.
• Meyer and Associates Optometry, PC
• Carl Dana Meyer, O.D.
• Michael D. Bettner, DDS
• Sierra Michaels
• Jaclyn Michelle Michel, DPT
• Dollia Marie Mickler, PTA
• Mid America Clinical Laboratories, LLC

• Ophthalmology Physician in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.