Individual provider Active NPI

Galen Maze-Rothstein, M.D.

  • Neurology Physician
  • Camas, WA
National Provider Identifier
1346479920
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
TRN14090 Issued in FL
Practice address
3544 NW Astor St
Camas, WA 98607-8580
Phone
(734) 213-3931
Fax
(734) 926-0090
NPI assigned
Jul 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X TRN14090 FL Primary

Addresses

Primary practice location

3544 NW Astor St
Camas, WA 98607-8580

Mailing address

812 Avis Dr
Ann Arbor, MI 48108-9649
Phone (734) 213-3931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20141223000119 WA Practitioner - Neurology 7618290768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Massachusetts Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Neuromonitoring Associates, PCGroup PAC ID 8022019710, 30 clinicians

Practice addresses (Care Compare)

3031 NW Grass Valley Dr
Camas, WA 98607-4000
Phone (888) 464-2466

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Hoag Orthopedic Institute Hospital, Irvine, CA, CCN 050769
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN14090FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Neuromonitoring Associates, PC Neurology CurrentSince Oct 1, 2016 Accepting new patients

Locations

10275 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (734) 545-4420

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1346479920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 AVIS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089649",
            "telephone_number": "734-213-3931",
            "fax_number": "734-926-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 NW ASTOR ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078580",
            "telephone_number": "734-213-3931",
            "fax_number": "734-926-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZE-ROTHSTEIN",
        "first_name": "GALEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-05",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "TRN14090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

Verify at the official NPI Registry.