Individual provider Active NPI

David S Rothberg, M.D.

  • Ophthalmology Physician
  • Palm Harbor, FL
National Provider Identifier
1467498824
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME45342 Issued in FL
Practice address
3820 Tampa Rd
Suite 101
Palm Harbor, FL 34684-3609
Phone
(727) 785-6422
Fax
(727) 785-9660
NPI assigned
Jun 22, 2006
Last updated
Feb 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME45342 FL Primary

Addresses

Primary practice location

3820 Tampa Rd
Suite 101
Palm Harbor, FL 34684-3609

Mailing address

3820 Tampa Rd
Suite 101
Palm Harbor, FL 34684-3609
Phone (727) 785-6422

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

State licenses

LicenseStateTypeSpecialty
ME45342FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David S. Rothberg MD PA Current Accepting new patients

Locations

3820 Tampa Rd
Ste 101
Palm Harbor, FL 34684
Phone (727) 216-6775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1467498824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 TAMPA RD",
            "address_2": "SUITE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843609",
            "telephone_number": "727-785-6422",
            "fax_number": "727-785-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 TAMPA RD",
            "address_2": "SUITE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843609",
            "telephone_number": "727-785-6422",
            "fax_number": "727-785-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBERG",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME45342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.