Shane Rothermel, MD
Shane Rothermel, MD is an Orthopedic Surgery in Pueblo, Colorado. Graduated from Pennsylvania State University College of Medicine in 2015, 11 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado, New Jersey and Pennsylvania.
- Years since qualifying
- 11
- Trained at
- Pennsylvania State University College of Medicine
- Licensed in
- CO, NJ, PA
- In the registry since
- 2015
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3676 Parker Blvd Ste 390Pueblo, CO 81008-2215
Phone: (719) 595-7780
Fax: (719) 595-7789
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Reconstructive Orthopaedic Surgery Physician (primary) | Taxonomy 207XS0114X · Licence DR0065962 (CO) |
|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | Taxonomy 207XS0114X · Licence 25MA10759000 (NJ) |
| Adult Reconstructive Orthopaedic Surgery Physician | Taxonomy 207XS0114X · Licence MD462106 (PA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1083000541 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 11, 2015 |
| Last updated in NPPES | October 30, 2021 |
| Certification date | October 30, 2021 |
| Mailing address | 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Poudre Valley Medical Group Llc — 2416 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |