Kim G Rothermel, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-03-9998 Issued in OH

Practice address

5040 Bradenton Ave
Dublin, OH 43017-3520

Phone

(614) 766-3344

Fax

(614) 766-3330

NPI assigned

Dec 13, 2005

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1376528281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173520",
            "telephone_number": "614-766-3344",
            "fax_number": "614-766-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173520",
            "telephone_number": "614-766-3344",
            "fax_number": "614-766-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHERMEL",
        "first_name": "KIM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-03-9998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426435",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas A Rossi, MD
• Melissa Rotblatt, LISW-S
• Gerri Roth
• Libbi Roth
• William S. Rothe, M.D.
• Kelly Vaiden Rothert, MSW, LSW
• Michelle Rothweiler, LSW
• Kelsie Rottenberger
• Christina Roush
• Shantel Larose Rowan

• Pediatrics Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.