NPIMap

Organization Active NPI

RWR Medical Arts SC

Doing business as David D Rotman MD

  • Family Medicine Physician
  • Robinson, IL
National Provider Identifier
1649271685
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036081314 Issued in IL
Legal business name
RWR MEDICAL ARTS SC
Doing business as
David D Rotman MD
Practice address
1002 N Allen St
Robinson, IL 62454-1167
Phone
(618) 544-7050
Fax
(618) 544-3738
NPI assigned
Aug 1, 2005
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
David D Rotman, MDNPI 1730204405
Title
President
Phone
(618) 544-7050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036081314 IL Primary

Addresses

Primary practice location

1002 N Allen St
Robinson, IL 62454-1167

Mailing address

1002 N Allen St
Robinson, IL 62454-1167
Phone (618) 544-7050

Other identifiers 4

IdentifierTypeStateIssuer
170047OtherILBC/BS OF IL
L023973OtherILTRICARE/CHAMPUS
080119162OtherILPALMENTO GBA MEDICARE
036081314MedicaidIL

Other names 1

  • David D Rotman MD Doing business as

National Provider Directory

National Provider Directory

Locations

1002 N Allen St
Robinson, IL 62454
Phone (618) 544-3125

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1649271685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541167",
            "telephone_number": "618-544-7050",
            "fax_number": "618-544-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541167",
            "telephone_number": "618-544-7050",
            "fax_number": "618-544-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWR MEDICAL ARTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "ROTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-544-7050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036081314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "170047",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "L023973",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMENTO GBA MEDICARE",
            "identifier": "080119162",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081314",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David D Rotman MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robinson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.