Jason David Roth in Indianapolis - Physician Assistant

Jason David Roth - NPI 1508816992

Jason David Roth is a Physician Assistant in Indianapolis, Indiana. Jason David Roth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason David Roth is 1508816992. The last update date is 2021-03-25.

Jason David Roth's current location address is 8450 Northwest Blvd, Indianapolis, Indiana. You can contact this provider via phone number 3178022000 and fax number 3178022170. The mailing address for Jason David Roth is 8450 Northwest Blvd, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason David Roth
Address 8450 Northwest Blvd, Indianapolis, Indiana
Phone Number 3178022000
Fax Number 3178022170
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1508816992
Provider Enumeration Date 2006-05-10
Last Updated Date 2021-03-25

Provider Mailing Address Detail

Address 8450 Northwest Blvd
City Indianapolis
State Indiana (IN)
Post Code 462781381
Phone Number 3178022000
Fax Number 3178022170

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 10000474A
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jason David Roth

What is the unique 10-digit identifier code assigned to Jason David Roth by the Centers for Medicare & Medicaid Services?

The Jason David Roth has been issued the NPI (National Provider Identifier) 1508816992 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jason David Roth is physically located?

The Jason David Roth is situated at the following address: 8450 Northwest Blvd, Indianapolis, IN 462781381.

What is Jason David Roth's area of expertise and its corresponding taxonomy classification?

The Jason David Roth's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1508816992 to Jason David Roth?

The Centers for Medicare & Medicaid Services assigned the 1508816992 to Jason David Roth on 2006-05-10.

As of what date were the details pertaining to Jason David Roth last refreshed?

The information related to the Jason David Roth, including its address, specialty, and other relevant details, was last updated on 2021-03-25.

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