MARK F ROTTENBERG (NPI# 1396729232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396729232 |
| Entity Type | Individual |
| Full Name | MARK F ROTTENBERG |
| Credential | MD |
| Practice Address |
28300 Orchard Lake Rd Suite 103 Farmington Hills MI 48334-3704 |
| Mailing Address |
28300 Orchard Lake Rd Suite 103 Farmington Hills MI 78334 |
| Practice Telephone | 2485384900 |
| Practice Fax Number | 2485384949 |
| Mailing Telephone | 2485384900 |
| Mailing Fax Number | 2485384949 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MR042031 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 10040231 | 05 |
| Street Address |
28300 ORCHARD LAKE RD SUITE 103 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098234 | Eric Ferrigan | Physician Assistant | 28300 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-3704 | 2017-01-03 |
| 1689045577 | Befitting You,llc | Clinic/Center | 28300 Orchard Lake Rd, Suite 233, Farmington Hills, MI 48334-3704 | 2015-10-17 |
| 1275915035 | Greg Newman | Pharmacist | 28300 Orchard Lake Rd, Suite 233, Farmington Hills, MI 48334-3704 | 2015-06-29 |
| 1841682754 | Meghan Deters | Physician Assistant | 28300 Orchard Lake Rd, Farmington Hills, MI 48334-3704 | 2015-03-02 |
| 1558789008 | Scott Mccarty | Orthopaedic Surgery | 28300 Orchard Lake Rd, Farmington Hills, MI 48334-3704 | 2014-04-02 |
| 1760805014 | Hillary Wright | Hearing Instrument Specialist | 28300 Orchard Lake Rd, Suite 102, Farmington Hills, MI 48334-3704 | 2014-01-22 |
| 1821376955 | Vhs Physicians of Michigan | Orthopaedic Surgery | 28300 Orchard Lake Rd, Suite 200, Farmington Hills, MI 48334-3704 | 2011-07-22 |
| 1831498948 | Oakland Drugs LLC | Pharmacy | 28300 Orchard Lake Rd, Suite # 101, Farmington Hills, MI 48334-3704 | 2011-03-16 |
| 1982867305 | Colleen A Newman | Audiologist | 28300 Orchard Lake Rd, St100, Farmington Hills, MI 48334-3704 | 2008-07-07 |
| 1487874186 | Daniel B Hoard Md Pllc | Orthopaedic Surgery | 28300 Orchard Lake Rd, Suite 222, Farmington Hills, MI 48334-3704 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033159132 | Kenneth J Richter | Neuromusculoskeletal Medicine, Sports Medicine | 34505 West 12 Mile Rd Suite 100, Farmington Hills, MI 48331 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104206978 | Michigan Medical Clinics | Neuromusculoskeletal Medicine, Sports Medicine | 29984 Telegraph Rd, Ste A, Southfield, MI 48034-1355 | 2015-06-05 |
| 1699088468 | Summit Medical Group Pllc | Neuromusculoskeletal Medicine, Sports Medicine | 8560 N Silvery Ln, Suite 202, Dearborn Heights, MI 48127-4515 | 2010-07-21 |
| 1902951809 | Jon L Schriner | Neuromusculoskeletal Medicine, Sports Medicine | 12741 S Saginaw St Ste 402, Grand Blanc, MI 48439 | 2007-01-24 |
| 1184732281 | Melissa Jugo Tinney | Neuromusculoskeletal Medicine, Sports Medicine | 2850 South Industrial Hwy, Suite 400, Ann Arbor, MI 48104-5758 | 2006-08-28 |
| 1295777423 | Robert P Schneeberger | Neuromusculoskeletal Medicine, Sports Medicine | 1314 E Apple Ave, Muskegon, MI 49442-3759 | 2006-06-12 |
| 1881645042 | Kent Richard Biddinger | Neuromusculoskeletal Medicine, Sports Medicine | 420 W Wackerly St, Midland, MI 48640-4701 | 2006-05-12 |
| 1598713430 | Laran Johnathon Lerner | Neuromusculoskeletal Medicine, Sports Medicine | 1678 S Merriman Rd, Westland, MI 48186-5355 | 2006-05-04 |
| 1003876533 | Bruce J Trusock | Neuromusculoskeletal Medicine, Sports Medicine | 600 Macinnes Dr., Houghton, MI 49930-1569 | 2006-03-27 |
| 1023019890 | Val Dennis Syring | Neuromusculoskeletal Medicine, Sports Medicine | 1945 Boston St Se, G1, Grand Rapids, MI 49506-4100 | 2005-08-03 |
| 1467924407 | John E Samani Md PC | Neuromusculoskeletal Medicine, Sports Medicine | 937 N Opdyke Rd, Auburn Hills, MI 48326-2641 | 2018-12-31 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on MARK F ROTTENBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.