Ronald I Rothenberg, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101005522 Issued in MI

Practice address

909 W Maple Rd
Ste 100
Clawson, MI 48017

Phone

(248) 435-2028

Fax

(248) 435-2099

NPI assigned

Jan 19, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: ronald.rothenberg.1@24172.direct.athenahealth.com
• Direct secure messaging: ronald.rothenberg.1@14250.direct.athenahealth.com

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487634986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W MAPLE RD",
            "address_2": "STE 100",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "48017",
            "telephone_number": "248-435-2028",
            "fax_number": "248-435-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAPLE RD",
            "address_2": "STE 100",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "48017",
            "telephone_number": "248-435-2028",
            "fax_number": "248-435-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "RONALD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101005522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "080F319020",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028982",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Nicole Reynolds, LMSW
• Martina Saskia Richardson, D.D.S.
• Robert a Delp MD PC
• Robin M Moherek MD PC
• Randi D Robinson, LLPC
• Tameaka Roundtree
• RPH Investments Inc. (Clawson Pharmacy)
• Lawrence Ryan, DDS
• Caroline Sadler, MS, OTR/L
• Asma Saleh Joudat Saleh

• Family Medicine Physician in Clawson, MI
• Providers in Clawson, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.