IndividualActive
Shane Rothermel, MD
NPI 1083000541 · Adult Reconstructive Orthopaedic Surgery Physician · Pueblo, CO
Provider details
- NPI number
- 1083000541
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10759000 (NJ)
Practice location
3676 Parker Blvd Ste 390
Pueblo, CO 81008-2215
Phone: (719) 595-7780
Fax: (719) 595-7789
Mailing address
2500 English Creek Ave Ste 1300
Egg Harbor Township, NJ 08234-5598
Registry dates
- Enumerated
- 2015-04-11
- Last updated
- 2021-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.