DR. KELLY SUE ROTHE D.O. NPI 1801866454

NPI Information

NPI: 1801866454
Provider Name: DR. KELLY SUE ROTHE, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2 S MAIN ST
BURNSVILLE, NC
ZIP 28714
Phone: (828) 678-9352
Get Directions

DR. Kelly Sue Rothe, D.O. is a family medicine in Burnsville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kelly Sue Rothe, D.O. NPI is 1801866454. 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:

2 S MAIN ST
BURNSVILLE, NC
ZIP 28714-929
Phone: (828) 678-9352
Fax: (828) 682-7866

The NPI 1801866454 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 1/25/2006 and was last updated on 9/15/2009.

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	207Q00000X	Family Medicine		200301048	NORTH CAROLINA	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	2335695	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	I00617	MEDICARE UPIN	NORTH CAROLINA
3	135R4	OTHER	NORTH CAROLINA	BLUE CROSS & BLUE SHEILD
4	89135R4	MEDICAID	NORTH CAROLINA
5	P00252272	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	PERSONAL PROVIDER #

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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