Mark Terry Rothstein, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-037876 Issued in OH

Practice address

75 Hospital Dr
Suite 350
Athens, OH 45701-2857

Phone

(740) 592-4491

Fax

(740) 592-4844

NPI assigned

May 23, 2005

Last updated

Dec 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ohiohealth Corporation

  dba OhioHealth Physician Group, Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment NPD
• Sheltering Arms Hospital Foundation, Inc.

  dba O'Bleness Memorial Hospital

  • General Acute Care Hospital
  • Athens, OH
  • NPI 1710913462
  Medicare reassignment NPD
• Athens Family Practice Clinic, Inc

  • Family Medicine Physician
  • Athens, OH
  • NPI 1508996539
  NPD (past) Authorized official
• Athens Medical Associates, LLC

  • Family Medicine Physician
  • Athens, OH
  • NPI 1982714358
  Authorized official Same address or phone
• Ohiohealth Corporation

  dba OhioHealth Physician Group Inc

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1932102985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141",
            "telephone_number": "614-544-6155",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DR",
            "address_2": "SUITE 350",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012857",
            "telephone_number": "740-592-4491",
            "fax_number": "740-592-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSTEIN",
        "first_name": "MARK",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD011535",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-037876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0259134",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "RO0408502",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle E. Ross, QMHS
• Isaiah Ross
• Kayla Ross
• Rachel Ross
• Spencer Rossman
• Kimberly Rouse, LISW-S
• Cassandra Roush
• Kasey Lynn Roush
• Kim Ronald Routh, DO
• Lawrence M Rubens, M.D.

• Family Medicine Physician in Athens, OH
• Providers in Athens, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.