Provider Demographics
NPI:1316967318
Name:ROTHFLEISCH, RICHARD (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:ROTHFLEISCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 N 12TH ST
Mailing Address - Street 2:SUITE LLA
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-1101
Mailing Address - Country:US
Mailing Address - Phone:610-377-3933
Mailing Address - Fax:610-377-5211
Practice Address - Street 1:281 N 12TH ST
Practice Address - Street 2:SUITE LLA
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1101
Practice Address - Country:US
Practice Address - Phone:610-377-3933
Practice Address - Fax:610-377-5211
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD420920207RP1001X
VA0101042416207RP1001X
IN01074151A207RP1001X, 207RC0200X
LA207562208M00000X
FLME125007207RP1001X
NMMD2015-0834207RC0200X
WAMD60543630207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001932090Medicaid
PA001932090Medicaid
065350Medicare PIN