Active NPI
Gerald Rothstein, M.D.
- Specialist
- Salt Lake City, UT
National Provider Identifier
1982647491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 152546-1205
- Practice address
- University of Utah School of Medicine
50 North Medical Drive
Salt Lake City, UT 84132-0001 - Phone
- (801) 587-9103
- Fax
- (801) 585-3884
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 152546-1205 | UT | Primary |
Addresses
Primary practice location
University of Utah School of Medicine
50 North Medical Drive
Salt Lake City, UT 84132-0001
Mailing address
PO Box 17534
Holladay, UT 84117-0534
Phone (801) 278-4328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U-U Human Development Division | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1881627016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982647491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17534",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841170534",
"telephone_number": "801-278-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF UTAH SCHOOL OF MEDICINE",
"address_2": "50 NORTH MEDICAL DRIVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-587-9103",
"fax_number": "801-585-3884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHSTEIN",
"first_name": "GERALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "152546-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.