Healthcare Provider Details

I. General information

NPI: 1639557358
Provider Name (Legal Business Name): WILLIAM B ROTHSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S LIMESTONE STE L119
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

618 HOSPITAL RD
TAPPAHANNOCK VA
22560
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-3253
  • Fax: 859-323-1203
Mailing address:
  • Phone: 804-828-7391
  • Fax: 804-828-0191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101265419
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberTP670
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: