Healthcare Provider Details

I. General information

NPI: 1033191960
Provider Name (Legal Business Name): EDWARD AARON ROTHSCHILD II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7807 SHELBYVILLE RD SUITE 100
LOUISVILLE KY
40222-5439
US

IV. Provider business mailing address

5119 DUNVEGAN RD
LOUISVILLE KY
40222-6022
US

V. Phone/Fax

Practice location:
  • Phone: 502-429-6500
  • Fax: 502-429-0770
Mailing address:
  • Phone: 502-425-4229
  • Fax: 502-339-1789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number27689
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01038598A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME80728
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: