Glenn P Rothhaas, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

34-00-4787-R Issued in OH

Practice address

3900 Sunforest CT
Ste 119
Toledo, OH 43623-4440

Phone

(419) 472-3791

Fax

(419) 472-6219

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9045/brand/1/csg/1/fhir/r4

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.

• Robert L Kalb MD Inc

  • Orthopaedic Surgery Physician
  • Toledo, OH
  • NPI 1568656627
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1366448110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT",
            "address_2": "STE 119",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234440",
            "telephone_number": "419-472-3791",
            "fax_number": "419-472-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT",
            "address_2": "STE 119",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234440",
            "telephone_number": "419-472-3791",
            "fax_number": "419-472-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHHAAS",
        "first_name": "GLENN",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34-00-4787-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0329424",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Marie Roth, MS/CCC-SLP
• Matt D Roth, MD
• Ryan Roth, PA
• Victor S Roth, M.D.
• Kristy Elaine Rothe, M.ED, BCBA, COBA
• Laura Suzanne Rothschild
• Brittany Roundtree, QMHS
• Michelle Roundtree
• Pamela Faye Roundtree
• Rakeia Roundtree, INDEPENDENT PROVIDER

• Orthopaedic Surgery Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.