Michael Evan Rothenberg, M.D., PH.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A96368 Issued in CA

Practice address

300 Pasteur Drive, Alway Building M211
Mc5187
Stanford, CA 94305-5187

Phone

(650) 725-3362

Fax

(650) 723-5488

NPI assigned

Feb 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1306014071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE, ALWAY BUILDING M211",
            "address_2": "MC5187",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055187",
            "telephone_number": "650-725-3362",
            "fax_number": "650-723-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE, ALWAY BUILDING M211",
            "address_2": "MC5187",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055187",
            "telephone_number": "650-725-3362",
            "fax_number": "650-723-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "MICHAEL",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A96368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomasz Aleksander Rosse, M.D.
• Joelle Ivy Rosser, MD
• Fernanda Rossi, PH.D.
• Kelly Nicole Roszczynialski, M.D.
• Alexis Anne Roth, NP-C
• Mathieu Rousseau, MD
• Courtney A Rowe-Teeter, MS, LCGC
• Amelia Rowe
• Danielle Klaire Rowe, PA-C
• Mohana Roy, M.D.

• Gastroenterology Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.