Provider Demographics
NPI:1962447383
Name:ROTHSTEIN&SHAPIRO MDS LTD
Entity Type:Organization
Organization Name:ROTHSTEIN&SHAPIRO MDS LTD
Other - Org Name:ALLERGY & ASTHMA ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-359-5010
Mailing Address - Street 1:2135 GREEN VISTA DR
Mailing Address - Street 2:109
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-8544
Mailing Address - Country:US
Mailing Address - Phone:775-359-5010
Mailing Address - Fax:775-359-5076
Practice Address - Street 1:2135 GREEN VISTA DR
Practice Address - Street 2:109
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8544
Practice Address - Country:US
Practice Address - Phone:775-359-5010
Practice Address - Fax:775-359-5076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2739207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2016586Medicaid
NV2016805Medicaid
NV1972597367OtherNPI
NE1548254949OtherNPI
NV1972597367OtherNPI
NED42993Medicare UPIN
NV2016586Medicaid
NV03WCGVM03Medicare ID - Type UnspecifiedMEDICARE PROVIDER NO.