Charles J. Roth in Portland - Physician Assistant
Charles J. Roth - NPI 1740305226
Charles J. Roth is a Physician Assistant in Portland, Maine. Charles J. Roth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles J. Roth is 1740305226. The last update date is 2021-09-09.
Charles J. Roth's current location address is 33 Sewall St, Portland, Maine. You can contact this provider via phone number 2078282100. The mailing address for Charles J. Roth is 33 Sewall St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles J. Roth |
|---|---|
| Address | 33 Sewall St, Portland, Maine |
| Phone Number | 2078282100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740305226 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2021-09-09 |
Provider Mailing Address Detail
| Address | 33 Sewall St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41022603 |
| Phone Number | 2078282100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA628 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1740305226 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charles J. Roth by the Centers for Medicare & Medicaid Services?
The Charles J. Roth has been issued the NPI (National Provider Identifier) 1740305226 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 Charles J. Roth is physically located?
The Charles J. Roth is situated at the following address: 33 Sewall St, Portland, ME 41022603.
What is Charles J. Roth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles J. Roth's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740305226 to Charles J. Roth?
The Charles J. Roth received its 1740305226 assignment from the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date were the details related to Charles J. Roth most recently updated or revised?
The information pertaining to Charles J. Roth, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-09.