Active NPI
Eileen Rothrock, NP
- Nurse Practitioner
- Huntingdon Valley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- VP006491C
- Practice address
- 3430 Huntingdon Pike
Huntingdon Valley, PA 19006 - Phone
- (215) 938-7171
- Fax
- (215) 938-7338
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | VP006491C | PA | Primary |
Addresses
Primary practice location
3430 Huntingdon Pike
Huntingdon Valley, PA 19006
Mailing address
350 Crabtree Dr
Levittown, PA 19007
Phone (215) 547-1871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R01817831 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
40 W Frack St
Frackville, PA 17931-1719
Phone (570) 794-6123
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP006491C | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Coordinated Health Care, LLC | Current | Accepting new patients | |
| Cornerstone Coordinated Health Care, LLC | Current | Accepting new patients |
Locations
40 W Frack St
Frackville, PA 17931
Phone (570) 794-6123
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Frackville, PA
- NPI 1811269186
-
- Rural Health Clinic/Center
- Ashland, PA
- NPI 1174176796
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lehigh Valley Hospital Schuylkill S Jackson Street
- Rural Acute Care Hospital
- Pottsville, PA
- NPI 1235138405
-
- General Acute Care Hospital
- Pottsville, PA
- NPI 1427050376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659440550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 CRABTREE DR",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "19007",
"telephone_number": "215-547-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 HUNTINGDON PIKE",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "19006",
"telephone_number": "215-938-7171",
"fax_number": "215-938-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHROCK",
"first_name": "EILEEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "VP006491C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "R01817831",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntingdon Valley, PA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.