1518995489 NPI number — ANDREW SCHAFLANDER ROTHSCHILD DOT

Table of content: ANDREW SCHAFLANDER ROTHSCHILD DOT (NPI 1518995489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518995489 NPI number — ANDREW SCHAFLANDER ROTHSCHILD DOT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROTHSCHILD
Provider First Name:
ANDREW
Provider Middle Name:
SCHAFLANDER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DOT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518995489
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9210 ARBORETUM PKWY
Provider Second Line Business Mailing Address:
SUITE 260
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23236-3472
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-915-4602
Provider Business Mailing Address Fax Number:
804-327-8496

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8266 ATLEE RD
Provider Second Line Business Practice Location Address:
SUITE 133PT
Provider Business Practice Location Address City Name:
MECHANICSVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23116-1804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-730-2121
Provider Business Practice Location Address Fax Number:
804-730-0563
Provider Enumeration Date:
06/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  2305000941 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 2305204714 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010411726 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 258462 . This is a "SOUTHERN HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 540885859 . This is a "FOCUS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 540885859 . This is a "MULTIPLAN" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 98999 . This is a "OPTIMA HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1577 . This is a "SH CARENET" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 192289 . This is a "ANTHEM - HANOVER THERAPY" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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