Organization Active NPI

Mitchell S Rothstein M D Inc

  • Pulmonary Disease Physician
  • Jacksonville, FL
National Provider Identifier
1215034517
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 50862 Issued in FL
Legal business name
MITCHELL S ROTHSTEIN M D INC
Practice address
425 N Lee St
Suite 202
Jacksonville, FL 32204-1127
Phone
(904) 388-3357
Fax
(904) 384-5746
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Dr. Mitchell S Rothstein, MD
Title
President
Phone
(904) 366-3738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME 50862 FL Primary

Addresses

Primary practice location

425 N Lee St
Suite 202
Jacksonville, FL 32204-1127

Mailing address

PO Box 380009
Jacksonville, FL 32205-0509
Phone (904) 388-3357

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1215034517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380009",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050509",
            "telephone_number": "904-388-3357",
            "fax_number": "904-384-5746"
        },
        {
            "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": "904-388-3357",
            "fax_number": "904-384-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL S ROTHSTEIN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "ROTHSTEIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-366-3738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 50862",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.