- Practice location
- 3676 Parker Blvd Ste 390, Pueblo, CO 81008-2215
- Phone
- 719-595-7780
- Fax
- 719-595-7789
- Last updated
- October 30, 2021
Shane Rothermel is an Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery based in Pueblo, CO. Shane Rothermel practices in Pueblo, CO and has the professional credentials of MD. The NPI Number for Shane Rothermel is 1083000541 and holds a License No. 25MA10759000 (NJ). The current practice location address for Shane Rothermel is 3676 Parker Blvd Ste 390, Pueblo, CO 81008-2215 and can be reached out via phone at 719-595-7780 and via fax at 719-595-7789.
Provider Profile Details
- NPI Number
- 1083000541
- Provider Name
- Shane Rothermel
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3676 Parker Blvd Ste 390, Pueblo, CO 81008-2215
- Phone Number
- 719-595-7780
- Fax Number
- 719-595-7789
- Primary Taxonomy
- Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery · 207XS0114X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 11, 2015
- Last Update Date
- October 30, 2021
- Certification Date
- October 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3676 Parker Blvd Ste 390
Pueblo, CO 81008-2215 - City
- Pueblo
- State
- Colorado
- Zip
- 81008-2215
- Phone Number
- 719-595-7780
- Fax Number
- 719-595-7789
Provider Business Mailing Address Details
- Address
- 2500 English Creek Ave Ste 1300
Egg Harbor Township, NJ 08234-5598 - City
- Egg Harbor Township
- State
- NJ
- Zip
- 08234-5598
- Phone Number
- 609-677-7013
- Fax Number
- 609-677-7000
License Information
- License Number (1)
- 25MA10759000
- License State (1)
- NJ
- Taxonomy (1)
- Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery · 207XS0114X
- License Number (2)
- MD462106
- License State (2)
- PA
- Taxonomy (2)
- Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery · 207XS0114X
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (4)
- DR0065962
- License State (4)
- CO
- Taxonomy (4)
- Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery · 207XS0114X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery providers near Pueblo, CO
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Frequently Asked Questions
What is the NPI number of Shane Rothermel, MD?
The NPI number of Shane Rothermel, MD is 1083000541. It was assigned on April 11, 2015 and is currently active in the NPPES registry.
What is the specialty of Shane Rothermel, MD?
Shane Rothermel, MD is registered under the primary taxonomy Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (code 207XS0114X), licensed in NJ under license number 25MA10759000.
Where does Shane Rothermel, MD practice?
The practice location is 3676 Parker Blvd Ste 390, Pueblo, CO 81008-2215. The office can be reached at 719-595-7780 (phone) or 719-595-7789 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083000541 directly on the NPPES registry website.