Individual
JOHN F. ROTHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8081 INNOVATION PARK DR STE 900, FAIRFAX, VA 22031-4867
(571) 472-4200
(571) 472-4201
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101275611
VA
2084N0400X
Neurology Physician
MD041880
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023614
—
AL
05
—
00114706
—
MS
05
—
009991600
—
AL
01
—
05-12000
UNITED HEALTHCARE
AL
01
—
11423627
CAQH
—
05
—
1174577449
—
NV
05
—
255687100
—
FL
01
—
51023614
BCBS
AL
01
—
51509740
BCBS
AL
Enumeration date
05/20/2006
Last updated
09/05/2022
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