DAVID A ROTHENBERGER M.D. NPI 1285704916

NPI Information

NPI: 1285704916
Provider Name: DAVID A ROTHENBERGER, M.D.
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual
Address:
516 DELAWARE ST SE
PWB - FIRST FLOOR, CLINIC 1-E
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-1999
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David A Rothenberger, M.D. is a colon rectal surgery in Minneapolis, MN. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. David A Rothenberger, M.D. NPI is 1285704916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

516 DELAWARE ST SE
PWB - FIRST FLOOR, CLINIC 1-E
MINNEAPOLIS, MN
ZIP 55455-356
Phone: (612) 626-1999
Fax: (612) 626-0654

The enumeration date for this NPI number is 11/9/2006 and was last updated on 6/8/2015.

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	208C00000X	Colon & Rectal Surgery		21999	MINNESOTA	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	100428	OTHER	MINNESOTA	UCARE
2	14-00032	OTHER	MINNESOTA	MEDICA PRIMARY
3	A94723	MEDICARE UPIN
4	0010839	OTHER	MINNESOTA	PREFERRED ONE
5	14-22591	OTHER	MINNESOTA	MEDICA CHOICE
6	280000056	MEDICARE ID-TYPE UNSPECIFIED
7	0973602	MEDICAID	IOWA
8	768328	OTHER	MINNESOTA	ARAZ
9	HP14281	OTHER	MINNESOTA	HEALTH PARTNERS
10	683595300	MEDICAID	MINNESOTA
11	01T37RO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
12	280000356	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD

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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