ROBERT MICHAEL ROTH (NPI# 1033649579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033649579 |
| Entity Type | Individual |
| Full Name | ROBERT MICHAEL ROTH |
| Credential | MD |
| Practice Address |
2450 Ashby Ave Berkeley CA 94705-2067 |
| Practice Telephone | 5102044723 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301113150 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821289489 | Robert M Roth | Internal Medicine | 275 Grove St Ste 1-110, Mckesson Health Solutions, Auburndale, MA 02466-2275 | 2007-08-07 |
| 1760599278 | Robert M Roth | Family Medicine | 3201 Pioneers Blvd Ste 304, Lincoln, NE 68502-5963 | 2006-08-23 |
| 1508861121 | Robert T Roth | Surgery | 1840 Mease Dr, Suite 301, Safety Harbor, FL 34695-6602 | 2005-06-20 |
| 1124570486 | Robert C Roth | Specialist | 380 Hickory St Nw, Albany, OR 97321-1726 | 2016-11-02 |
| 1588060834 | Robert Roth | Case Manager/Care Coordinator | 282 S Camino Del Pueblo Ste C, Bernalillo, NM 87004-5909 | 2014-11-14 |
| 1710134911 | Robert A Roth | Family Medicine | 1867 Airport Way Ste 140a, Fairbanks, AK 99701-4055 | 2008-08-19 |
| 1891863106 | Robert Mark Roth | Clinical Neuropsychologist | 1 Medical Center Drive, Lebanon, NH 03756-0001 | 2006-12-04 |
| 1790852713 | Robert S. Roth | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2006-11-29 |
| 1992878581 | Robert Lawrence Roth | Psychiatry & Neurology | Sullivan Way, Ann Klein Forensic Center, West Trenton, NJ 08628 | 2006-11-15 |
| 1700970910 | Robert A Roth | Urology | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-10-03 |
| Street Address |
2450 ASHBY AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447369 | Henry Hinchung Tan | Internal Medicine | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2005-06-16 |
| 1154940286 | Kassandra Marie Donnels | Advanced Practice Midwife | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2020-04-09 |
| 1881221646 | Stephanie Miller | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2020-03-23 |
| 1962966689 | Samantha Ann Misslbeck | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2019-01-27 |
| 1851898837 | Obianauju Vivian Ogu | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2018-04-06 |
| 1306294962 | Anh Dang | General Acute Care Hospital | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-05-24 |
| 1639523004 | Sutter Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-04-21 |
| 1316312648 | Zain Daniel Bartlett Morin | Pharmacist | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2015-12-11 |
| 1841663804 | Ilana Rose Pearlman | Advanced Practice Midwife | 2450 Ashby Ave, Rm. 3040, Berkeley, CA 94705-2067 | 2015-11-12 |
| 1417351131 | Qinshi Pan | Obstetrics & Gynecology | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2014-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285950253 | Steve Pham | Emergency Medicine | 2433 Warring St, Apt 6, Berkeley, CA 94704-2501 | 2010-04-15 |
| 1487982799 | Annemarie Noelle Sheets | Emergency Medicine | 2612 Alcatraz Ave Ste 1, Berkeley, CA 94705-2723 | 2009-11-24 |
| 1134307382 | Andrew Masaaki Osugi | Emergency Medicine | 2450 Ashby Ave Ste 1160, Berkeley, CA 94705-2067 | 2008-02-08 |
| 1457463895 | Dev Singh Dhanoa | Emergency Medicine | 600 Woodmont Ave, Berkeley, CA 94708-1234 | 2006-08-31 |
| 1811911209 | Stephanie Lovell-rose | Emergency Medicine | 1160 Amador Ave, Berkeley, CA 94707-2602 | 2006-07-27 |
| 1750338356 | Stacey Lynn Meredith | Emergency Medicine | Er Dept, 2450 Ashby Ave, Berkeley, CA 94705 | 2006-05-28 |
| 1215995576 | Marjorie M Macqueen | Emergency Medicine | 2450 Ashby Avenue, Berkeley, CA 94705-2067 | 2006-05-03 |
| 1376508010 | Ryan M. Romeiser | Emergency Medicine | 1648 Cedar St, Berkeley, CA 94703-1029 | 2006-04-18 |
| 1851372684 | Melissa Tom | Emergency Medicine | 3010 Colby St Ste 212, Berkeley, CA 94705-2059 | 2005-11-09 |
| 1376534792 | Brian Curtis Hinrichsen | Emergency Medicine | 3010 Colby St, Berkeley, CA 94705-2091 | 2005-11-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.