Individual provider Active NPI

Joan O Rothenberg, MD

  • Emergency Medicine Physician
  • Strongsville, OH
National Provider Identifier
1033158662
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-043347 Issued in OH
Practice address
18181 Pearl Rd
Strongsville, OH 44136-6949
Phone
(440) 816-6414
Fax
(440) 816-6421
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 35043347R OH
Emergency Medicine Physician 207P00000X 35-043347 OH Primary

Addresses

Primary practice location

18181 Pearl Rd
Strongsville, OH 44136-6949

Mailing address

18181 Pearl Rd
Strongsville, OH 44136-6949
Phone (440) 816-6414

Other identifiers 2

IdentifierTypeStateIssuer
0450006MedicaidOH
P00949838OtherOHMEDICARE RAILROAD

Other names 1

  • Dr. Joan O'Gureck Rothenberg Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20050810000744 OH Practitioner - Emergency MedicinePractitioner - Internal Medicine 8628007648 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35043347ROHMDLegal Medicine
35-043347OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
Knox Emergency Services, LLC Emergency Medicine CurrentSince Jun 15, 2017 Accepting new patients
Lake Emergency Services Inc Emergency Medicine Past Accepting new patients

Locations

15900 Snow Rd
Brook Park, OH 44142
Phone (216) 265-3454

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

11100 Euclid Ave
Cleveland Heights, OH 44106

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

18181 Pearl Rd
Strongsville, OH 44136
Phone (440) 816-4976

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1033158662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366949",
            "telephone_number": "440-816-6414",
            "fax_number": "440-816-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366949",
            "telephone_number": "440-816-6414",
            "fax_number": "440-816-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "JOAN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "35043347R",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-043347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450006",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00949838",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "ROTHENBERG",
            "middle_name": "O'GURECK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.