Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE ROTHERMEL, MD
ActiveSHANE ROTHERMEL, MD is a Sports Medicine (Orthopaedic) healthcare provider located in PUEBLO, Colorado. NPI 1083000541 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · PUEBLO, CO
Registration Details
- NPI Number
- 1083000541
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2015 (11.389815224023 yrs)
- Last Updated
- Oct 30, 2021
- Licenses
-
25MA10759000 (NJ)MD462106 (PA)DR0065962 (CO)
Practice Information
- Address
-
3676 PARKER BLVD STE 390PUEBLO, CO, 810082215Browse CO providers · Browse ZIP 81008
- Phone
- 7195957780
- Fax
- 7195957789
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.