NPIMap

Organization Active NPI

David S. Rothberg MD PA

  • Eyewear Supplier
  • Palm Harbor, FL
National Provider Identifier
1730391996
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
ME 45342 Issued in FL
Legal business name
DAVID S. ROTHBERG MD PA
Practice address
3820 Tampa Rd.
Suite 101
Palm Harbor, FL 34684-3609
Phone
(727) 785-6422
Fax
(727) 785-9660
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
David S Rothberg, MDNPI 1467498824
Title
President
Phone
(727) 785-6422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X ME 45342 FL Primary

Addresses

Primary practice location

3820 Tampa Rd.
Suite 101
Palm Harbor, FL 34684-3609

Mailing address

3820 Tampa Rd
Suite 101
Palm Harbor, FL 34684-3609
Phone (727) 785-6422

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1730391996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 TAMPA RD",
            "address_2": "SUITE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843609",
            "telephone_number": "727-785-6422",
            "fax_number": "727-785-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 TAMPA RD.",
            "address_2": "SUITE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843609",
            "telephone_number": "727-785-6422",
            "fax_number": "727-785-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. ROTHBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "ROTHBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-785-6422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "ME 45342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.