John D Roth is a Family Medicine in Broad Top, Pennsylvania. John D Roth practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John D Roth is 1699772673. The last update date is 2022-08-31.
John D Roth's current location address is 4133 Medical Center Dr, Broad Top, Pennsylvania. You can contact this provider via phone number 8146352916 and fax number 8146352918. The mailing address for John D Roth is 4133 Medical Center Dr, Broad Top, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John D Roth |
|---|---|
| Address | 4133 Medical Center Dr, Broad Top, Pennsylvania |
| Phone Number | 8146352916 |
| Fax Number | 8146352918 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699772673 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2022-08-31 |
Provider Mailing Address Detail
| Address | 4133 Medical Center Dr |
|---|---|
| City | Broad Top |
| State | Pennsylvania (PA) |
| Post Code | 166219001 |
| Phone Number | 8146352916 |
| Fax Number | 8146352918 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD047424L |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 007017627-0005 | PA | -- | |
| 206707 | PA | UPMC | |
| 007017627-0002 | PA | -- | |
| 007017627-0006 | PA | -- | |
| 30802890 | PA | AMERIHEALTH CARITAS | |
| 007017627-0010 | PA | -- | |
| 30803027 | PA | AMERIHEALTH CARITAS | |
| 742911 | PA | HIGHMARK BCBS | |
| 007017627-0004 | PA | -- | |
| 30802932 | PA | AMERIHEALTH CARITAS |
Post Comment/ Review Below
What is the unique identifier code issued to John D Roth by the Centers for Medicare & Medicaid Services?
The John D Roth has been assigned the NPI (National Provider Identifier) 1699772673. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John D Roth is located?
The John D Roth is situated at the following address: 4133 Medical Center Dr, Broad Top, PA, 166219001.
What is John D Roth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John D Roth is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699772673 to John D Roth?
The Centers for Medicare & Medicaid Services assigned the 1699772673 to John D Roth on 2005-07-05.
When was the information regarding John D Roth, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John D Roth, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-08-31.
NPI Number: 1699778829
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