JENNIFER S. ROTHENBERGER (NPI# 1447212162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447212162 |
Entity Type | Individual |
Full Name | JENNIFER S. ROTHENBERGER |
Credential | PA-C |
Practice Address |
8333 Naab Rd Ste 250 Indianapolis IN 46260 |
Mailing Address |
12040 Ne 128th St # Ms-50 Kirkland WA 98034-3013 |
Practice Telephone | 3173961300 |
Practice Fax Number | 3173961346 |
Mailing Telephone | 4258991894 |
Mailing Fax Number | 4258991898 |
Enumeration Date | 2006-04-06 |
Last Update Date | 2019-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10002582A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60995158 | WA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9101661 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 291359300 | 05 | |
FL | 2913593-00 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2531 Cleveland Ave, Suite 1, Fort Myers, FL 339014900 | 2393347000 | 2393347070 |
8333 Naab Rd Ste 250, Indianapolis, IN 46260 | 3173961300 | 3173961346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356970552 | Jennifer D Rothenberger | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-04-08 |
Street Address |
8333 NAAB RD STE 250 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46260 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811491491 | Michelle C Ziegler | Nurse Practitioner | 8333 Naab Rd Ste 250, Indianapolis, IN 46260-1983 | 2018-03-20 |
1891293353 | Rachel L Lytle | Nurse Practitioner | 8333 Naab Rd Ste 250, Indianapolis, IN 46260-1983 | 2018-01-30 |
1518486968 | Joni Marie Reynolds | Registered Nurse | 8333 Naab Rd Ste 250, Indianapolis, IN 46260-1983 | 2017-09-18 |
1841739380 | Marc Euler | Registered Nurse | 8333 Naab Rd Ste 250, Indianapolis, IN 46260-1983 | 2017-02-16 |
1588116966 | Stacie Gren | Registered Nurse | 8333 Naab Rd Ste 250, Indianapolis, IN 46260-1983 | 2016-11-01 |
1437502895 | Emma Schulte | Physician Assistant | 8333 Naab Rd Ste 250, Indianapolis, IN 46260-1983 | 2016-07-20 |
1649630104 | Mariann Carter | Nurse Practitioner | 8333 Naab Rd Ste 250, Indianapolis, IN 46260-1983 | 2016-02-26 |
1609262294 | Monica Broo | Nurse Practitioner | 8333 Naab Rd Ste 250, Indianapolis, IN 46260-1983 | 2015-04-09 |
1063600708 | Tamara M Poynter | Nurse Practitioner | 8333 Naab Rd Ste 250, Indianapolis, IN 46260-1983 | 2007-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
Find all providers in zip 46260 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
1912963620 | Kimberly D Hand | Physician Assistant | 8141 South Emerson Ave, Suite A, Indianapolis, IN 46237 | 2006-04-21 |
1235129909 | Megan Lynn Chojnacki | Physician Assistant | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2005-10-25 |
1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
1407495906 | Rachel C Ehrman | Physician Assistant | 7250 Clearvista Dr Ste 100, Indianapolis, IN 46256-4640 | 2019-12-31 |
1922659226 | Taylor Ann Smith | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2019-09-27 |
1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
1093201048 | Brooke Michele Stein | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2018-07-02 |
1043708472 | Joseph Ryan Lundberg | Physician Assistant | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2018-05-01 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46260 |
Please comment or provide details below to improve the information on JENNIFER S. ROTHENBERGER.
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.