Gary F Roth is a Emergency Medicine in Bloomington, Illinois. Gary F Roth practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Gary F Roth is 1992732648. The last update date is 2009-09-18.
Gary F Roth's current location address is 2200 E Washington St, Bloomington, Illinois. You can contact this provider via phone number 3096615111. The mailing address for Gary F Roth is 2200 E Washington St, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary F Roth |
|---|---|
| Address | 2200 E Washington St, Bloomington, Illinois |
| Phone Number | 3096615111 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992732648 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2009-09-18 |
Provider Mailing Address Detail
| Address | 2200 E Washington St |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617014364 |
| Phone Number | 3096615111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 36052934 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36052934 | IL | -- |
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What is the Gary F Roth's unique identification number?
The Gary F Roth has been assigned the NPI (National Provider Identifier) Number 1992732648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Gary F Roth located?
The Gary F Roth is located at 2200 E Washington St, Bloomington, IL 617014364.
What is Gary F Roth's area of expertise and its corresponding taxonomy classification?
The Gary F Roth's field of specialization is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1992732648 to Gary F Roth?
The Gary F Roth received its 1992732648 assignment from the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the information regarding Gary F Roth most recently updated?
The details pertaining to the Gary F Roth, including its address, specialty, and other relevant information, were last refreshed on 2009-09-18.