Matt D Roth is a Family Medicine in Maumee, Ohio. Matt D Roth practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Matt D Roth is 1457566101. The last update date is 2023-11-03.
Matt D Roth's current location address is 660 Beaver Creek Cir, Maumee, Ohio. You can contact this provider via phone number 4198916210 and fax number 4198933232. The mailing address for Matt D Roth is 660 Beaver Creek Cir, Maumee, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matt D Roth |
|---|---|
| Address | 660 Beaver Creek Cir, Maumee, Ohio |
| Phone Number | 4198916210 |
| Fax Number | 4198933232 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457566101 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2023-11-03 |
Provider Mailing Address Detail
| Address | 660 Beaver Creek Cir |
|---|---|
| City | Maumee |
| State | Ohio (OH) |
| Post Code | 435371745 |
| Phone Number | 4198916210 |
| Fax Number | 4198933232 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35088737 |
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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 |
|---|---|---|---|
| 2769839 | OH | -- | |
| 5455 | PARAMOUNT | ||
| 9202151 | AETNA | ||
| 571949 | ANTHEM | ||
| PENDING | RRMC | ||
| PENDING | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Matt D Roth by the Centers for Medicare & Medicaid Services?
The Matt D Roth has been issued the NPI (National Provider Identifier) 1457566101 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Matt D Roth is located?
The Matt D Roth is situated at the following address: 660 Beaver Creek Cir, Maumee, OH, 435371745.
What is Matt D Roth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matt D Roth is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did Matt D Roth receive its 1457566101 assignment?
The Matt D Roth was assigned its 1457566101 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
When was the Matt D Roth's information last updated?
The Matt D Roth's information was last updated on 2023-11-03.
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