Larry Robert Rothstein, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

LR009607 Issued in MI

Practice address

1030 Harrington St
Suite 101
Mount Clemens, MI 48043-2967

Phone

(586) 468-8500

Fax

(586) 468-7997

NPI assigned

Nov 15, 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

State licenses

Interoperability endpoints

• Direct secure messaging: lrothstein59717@direct.hfhs.org

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1508848748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 101",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-468-8500",
            "fax_number": "586-468-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 101",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-468-8500",
            "fax_number": "586-468-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSTEIN",
        "first_name": "LARRY",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "LR009607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2952023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Rogers
• Natalie Marie Romano, LMSW
• Root & Rise
• Douglas L. Ross, DO
• Shelly L Rossi
• Mitchell Robert Rozman, DO
• Michelle Ann Rudish, LLBSW
• Kayla Russell, PA-C
• Nichole Russo
• Brittany Rutland, PSYD

• Cardiovascular Disease Physician in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.