Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephan Michael Rothwell, PA

Individual provider Physician Assistant · NPI 1518257849

Stephan Michael Rothwell, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2010, 16 years ago. Practices with Mecklenburg Radiology Associates PA, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Phone: (704) 332-1291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-02720 (NC)

Record details

NPI number1518257849
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 7, 2011
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mecklenburg Radiology Associates Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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