Shane Rothermel, MD

Individual Active
NPI 1083000541
Adult Reconstructive Orthopaedic Surgery Physician Pueblo, CO

Shane Rothermel, MD holds NPI 1083000541, with a primary taxonomy of adult reconstructive orthopaedic surgery physician and a practice location in Pueblo, CO. The number was issued on April 11, 2015 and the NPPES record was last updated on October 30, 2021. The record lists 4 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114X DR0065962 (CO)
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 25MA10759000 (NJ)
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD462106 (PA)
Student in an Organized Health Care Education/Training Program 390200000X Not listed

Practice location

3676 Parker Blvd Ste 390
Pueblo, CO 81008-2215
Phone: (719) 595-7780

Local context

Active NPPES records list 1 provider with adult reconstructive orthopaedic surgery physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 38 in Colorado and 1,612 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Shane Rothermel
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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