| Marc Rothman, Md, Pllc | |
|
20 Anchorage Pointe Louisville KY 40223-2180 | |
| (415) 205-1229 | |
| Not Available |
| Full Name | Marc Rothman, Md, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Anchorage Pointe, Louisville, Kentucky |
| Authorized Official Name and Position | Marc Rothman (SOLE MEMBER) |
| Authorized Official Contact | 4152051229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Rothman, Md, Pllc 20 Anchorage Pointe Louisville KY 40223-2180 Ph: () - | Marc Rothman, Md, Pllc 20 Anchorage Pointe Louisville KY 40223-2180 Ph: (415) 205-1229 |
| NPI Number | 1871355818 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 8325488307 |
|---|---|
| Medicare Enrollment ID | O20240425000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871355818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Marc Daniel Rothman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184672040 PECOS PAC ID: 9133148117 Enrollment ID: I20240425000546 |
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