John B. Roth is a Gynecology in Morris, Illinois. John B. Roth practices all healthcare services and medical treatments related to Gynecology. The NPI Number for John B. Roth is 1447396361. The last update date is 2011-09-21.
John B. Roth's current location address is 107 W Jefferson St, Morris, Illinois. You can contact this provider via phone number 8159420683. The mailing address for John B. Roth is 107 W Jefferson St, Morris, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John B. Roth |
|---|---|
| Address | 107 W Jefferson St, Morris, Illinois |
| Phone Number | 8159420683 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1447396361 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2011-09-21 |
Provider Mailing Address Detail
| Address | 107 W Jefferson St |
|---|---|
| City | Morris |
| State | Illinois (IL) |
| Post Code | 604502128 |
| Phone Number | 8159420683 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 36044899 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36044899 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John B. Roth by the Centers for Medicare & Medicaid Services?
The John B. Roth has been assigned the NPI (National Provider Identifier) 1447396361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where John B. Roth is physically located?
The John B. Roth is physically situated at the following address: 107 W Jefferson St, Morris, IL, 604502128.
What is the John B. Roth's specialty and taxonomy code?
The John B. Roth's specialty is Gynecology, and the corresponding taxonomy code is 207Vg0400X.
On what date did John B. Roth receive its 1447396361 assignment from the Centers for Medicare & Medicaid Services?
The John B. Roth was assigned its 1447396361 on 2007-01-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the John B. Roth's details last updated?
The information pertaining to the John B. Roth, including its address, specialty, and other details, was most recently updated on 2011-09-21.