MEDICARE: JAMES R ROWBOTTOM 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	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	35-057065	OH
2	207LA0401X	Addiction Medicine (Anesthesiology) Physician	35-057065	OH
3	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician	35-057065	OH
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	35-057065	OH
5	207LP3000X	Pediatric Anesthesiology Physician	35-057065	OH
6	207L00000X	Anesthesiology Physician	35-057065	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00398044	OTHER	OH	RAILROAD MEDICARE
7	50032127	OTHER	OH	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	0583328	OTHER	OH	BCMH
3	4616361	OTHER	OH	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	000000221205	OTHER	OH	UNISON
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	000000516060	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1881615920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES R ROWBOTTOM MD

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1716
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

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

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	03/17/2018

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Directions to “ JAMES R ROWBOTTOM MD” Practice Location

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