MEDICARE: DR. JAMES H. ROTHSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	12009	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P01426909	OTHER	NH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AA1129	OTHER		HARVARD PILGRIM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	TP404	OTHER	KY	KENTUCKY BOARD OF MEDICAL LICENSURE

General Provider Information

NPI Number	:	1265419584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES H. ROTHSTEIN MD

Provider Business Mailing Address
First Line	:	7610 CARROLL AVE STE 100
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6311
Country	:	US
Telephone Number	:	301-891-2500
Fax Number	:	301-448-1679

Provider Business Practice Location Address
First Line	:	5000 KY ROUTE 321
Second Line	:
City	:	PRESTONSBURG
State	:	KY
Zip	:	41653-9113
Country	:	US
Telephone Number	:	606-886-1316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	05/03/2023

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