DR. HOLLY ROTHERMEL MD NPI 1215913926

NPI Information

NPI: 1215913926
Provider Name: DR. HOLLY ROTHERMEL, MD
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

PECOS Registration: Yes

Address:
55 FRUIT ST
YAW 6, PEDIATRIC GROUP PRACTICE
BOSTON, MA
ZIP 02114
Phone: (617) 726-2728
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DR. Holly Rothermel, MD is a pediatric rheumatology pediatrics in Boston, MA. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Holly Rothermel, MD NPI is 1215913926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST
YAW 6, PEDIATRIC GROUP PRACTICE
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-2728
Fax: (617) 726-3948

The NPI 1215913926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 11/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		150450	MASSACHUSETTS	No
2	2080P0216X	Pediatrics	Pediatric Rheumatology	150450	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A21248	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	150450	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	G26392	MEDICARE UPIN
4	J16594	OTHER	MASSACHUSETTS	BCBS MA
5	3152341	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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