Individual provider · Type 1 NPI
Shane Rothermel, MD
Adult Reconstructive Orthopaedic Surgery Physician · Pueblo, CO
Practice location
3676 Parker Blvd Ste 390
Pueblo, CO 81008-2215
Fax (719) 595-7789
Mailing address
2500 English Creek Ave Ste 1300
Egg Harbor Township, NJ 08234-5598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 | None listed |
| Adult Reconstructive Orthopaedic Surgery Physician Primary | 207XS0114X | DR0065962 (CO) |
Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
3 other providers at this address
About NPI 1083000541
Shane Rothermel, MD's National Provider Identifier is 1083000541, issued on Apr 11, 2015. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Pueblo, CO. The record was last updated on Oct 30, 2021.