Individual provider · Type 1 NPI

Jennifer S. Rothenberger, PA-C

Surgical Physician Assistant · Indianapolis, IN

NPI number 1447212162 Active

Practice location

8333 Naab Rd Ste 250
Indianapolis, IN 46260

Fax (317) 396-1346

Mailing address

12040 NE 128th St, # MS-50
Kirkland, WA 98034-3013

Other practice locations

  • 2531 Cleveland Ave, Suite 1, Fort Myers, FL 33901-4900 · (239) 334-7000
  • 8333 Naab Rd Ste 250, Indianapolis, IN 46260 · (317) 396-1300

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA9101661 (FL)
Surgical Physician Assistant Primary 363AS0400XPA60995158 (WA)
Surgical Physician Assistant 363AS0400X10002582A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1447212162

Jennifer S. Rothenberger, PA-C's National Provider Identifier is 1447212162, issued on Apr 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 15, 2019.