Active NPI
Mitchell S Rothstein, MD
- Pulmonary Disease Physician
- Jacksonville, FL
National Provider Identifier
1174576938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME0050862
- Practice address
- 425 N Lee St
Suite 202
Jacksonville, FL 32204-1127 - Phone
- (904) 366-3738
- Fax
- (904) 354-3571
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME0050862 | FL | Primary |
Addresses
Primary practice location
425 N Lee St
Suite 202
Jacksonville, FL 32204-1127
Mailing address
425 N Lee St
Suite 202
Jacksonville, FL 32204-1127
Phone (904) 366-3738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03757Z | Other | FL | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0050862 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell S Rothstein M D Inc | Past | Accepting new patients | |
| Mitchell S Rothstein M D Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1255502969
-
- Sleep Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1700057551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1174576938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N LEE ST",
"address_2": "SUITE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041127",
"telephone_number": "904-366-3738",
"fax_number": "904-354-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N LEE ST",
"address_2": "SUITE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041127",
"telephone_number": "904-366-3738",
"fax_number": "904-354-3571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHSTEIN",
"first_name": "MITCHELL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME0050862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "03757Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.