Organization Active NPI

Mitchell S Rothstein M D Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Jacksonville, FL
National Provider Identifier
1700057551
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
ME0050862 Issued in FL
Legal business name
MITCHELL S ROTHSTEIN M D INC
Practice address
1431 Riverplace Boulevard
Unit 2801
Jacksonville, FL 32207
Phone
(904) 354-6345
Fax
(904) 354-7451
NPI assigned
Mar 20, 2008
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Ms. Helen H Vanhouten
Title
Account Specialist
Phone
(904) 388-3357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME0050862 FL Primary

Addresses

Primary practice location

1431 Riverplace Boulevard
Unit 2801
Jacksonville, FL 32207

Mailing address

P O Box 380009
Jacksonville, FL 32205
Phone (904) 388-3357

National Provider Directory

National Provider Directory
Tax ID family
Mitchell S Rothstein M D Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1700057551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 380009",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32205",
            "telephone_number": "904-388-3357",
            "fax_number": "904-384-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 RIVERPLACE BOULEVARD",
            "address_2": "UNIT 2801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-354-6345",
            "fax_number": "904-354-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL S ROTHSTEIN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "VANHOUTEN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ACCOUNT SPECIALIST",
        "authorized_official_telephone_number": "904-388-3357",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME0050862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.