Provider Demographics
NPI:1629002555
Name:FINCK-ROTHMAN, DENISE R (MD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:R
Last Name:FINCK-ROTHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8535 CLIFF CAMERON DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-5909
Mailing Address - Country:US
Mailing Address - Phone:704-717-7477
Mailing Address - Fax:704-717-7457
Practice Address - Street 1:8535 CLIFF CAMERON DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-5909
Practice Address - Country:US
Practice Address - Phone:704-717-7477
Practice Address - Fax:704-717-7457
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9901529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8912746Medicaid
NC1629002555Medicaid
SCN01529Medicaid
NCP00266340OtherRR MEDICARE
NC2281291VMedicare PIN
NCNCF541EMedicare PIN
NCNCF541CMedicare UPIN
NC1629002555Medicaid
NC2281291FMedicare PIN
NC2281291DMedicare PIN
NC2281291AMedicare PIN
NC2281291LMedicare PIN
NC2281291UMedicare PIN
NCNCF541DMedicare PIN
NC2281291GMedicare PIN
NC2281291JMedicare PIN
NC2281291SMedicare PIN
NCNCF541GMedicare PIN
NC2281291EMedicare PIN
B81236Medicare UPIN
NC8912746Medicaid
NC2281291TMedicare PIN
NCNCF541JMedicare PIN
NC2281291CMedicare PIN
NC2281291KMedicare PIN
NCNCF541BMedicare PIN
NCP00266340OtherRR MEDICARE
NC2281291HMedicare PIN
NC2281291MMedicare PIN
NC2281291NMedicare PIN
NCNCF541AMedicare PIN
NCNCF541HMedicare PIN
NCNCF541IMedicare PIN