Active NPI
Richard O Rothwell, M.D.
- Obstetrics Physician
- Tyler, TX
National Provider Identifier
1265459770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- D9644
- Practice address
- 928 N Glenwood Blvd
Suite 415
Tyler, TX 75702-5055 - Phone
- (903) 535-9041
- NPI assigned
- Jul 17, 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | D9644 | TX | Primary |
Addresses
Primary practice location
928 N Glenwood Blvd
Suite 415
Tyler, TX 75702-5055
Mailing address
PO Box 844273
Dallas, TX 75284-4273
Phone (903) 535-9041
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-2578435-002 | Other | TX | TRICARE |
| 8EX185 | Other | TX | BCBS |
| P01459210 | Other | TX | RAIL ROAD MEDICARE |
| 032986405 | Medicaid | TX |
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, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Family Circle of Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1942011903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1265459770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844273",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844273",
"telephone_number": "903-535-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 N GLENWOOD BLVD",
"address_2": "SUITE 415",
"city": "TYLER",
"state": "TX",
"postal_code": "757025055",
"telephone_number": "903-535-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHWELL",
"first_name": "RICHARD",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "D9644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "45-2578435-002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8EX185",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01459210",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032986405",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.