Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Douglas Wayne Rothrock, MD

Individual provider Specialist · NPI 1265472138

Dr. Douglas Wayne Rothrock, MD is a Cardiovascular Disease (Cardiology) in Prescott, Arizona. Graduated from Oregon Health Sciences University School of Medicine in 1978, 48 years ago. Practices with Ponderosa Heart House Call, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
48
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

242 Whipple St
Prescott, AZ 86301-1787
Phone: (928) 708-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 804 Ainsworth Dr, Prescott, AZ 86301-1624 — (928) 776-0601

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 26235 (AZ)

Record details

NPI number1265472138
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Ponderosa Heart House Call — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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