SUSAN AMY ROTH (NPI# 1063587624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063587624 |
| Entity Type | Individual |
| Full Name | SUSAN AMY ROTH |
| Credential | MD |
| Practice Address |
1000 Central St Suite 765 Evanston IL 60201-1777 |
| Mailing Address |
2650 Ridge Ave Evanston Hospital Evanston IL 60201-1718 |
| Practice Telephone | 8475701507 |
| Practice Fax Number | 8475701577 |
| Mailing Telephone | 8475701206 |
| Mailing Fax Number | 8475701248 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036073846 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265670186 | Susan Roth | Speech-Language Pathologist | 114 West 86th Street, 8c, New York City, NY 10024-4062 | 2009-01-30 |
| 1497776975 | Susan Roth | Psychologist | 744 Mountain Blvd, Watchung, NJ 07069-6297 | 2006-07-21 |
| 1174518476 | Susan S Roth | Social Worker | 3107 N Peary St, Arlington, VA 22207-5355 | 2005-09-13 |
| 1578701926 | Susan Roth | Social Worker | 1 Federation Way, Suite 220, Irvine, CA 92603-0173 | 2009-01-22 |
| 1669652236 | Susan C Roth | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2007-11-12 |
| 1619045994 | Susan M Roth | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2006-12-02 |
| 1730278151 | Susan Marie Roth | Counselor | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2006-10-12 |
| 1124054465 | Susan B Roth | Radiology | 3400 Spruce St, Ground Floor Dulles, Philadelphia, PA 19104 | 2006-06-25 |
| 1144274267 | Susan R Roth | Audiologist | 4302 Alton Rd., Suite 650, Miami Beach, FL 33140 | 2006-05-22 |
| Street Address |
1000 CENTRAL ST SUITE 765 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907247 | Ella Komarovsky | Psychiatry & Neurology | 1000 Central St, Evanston, IL 60201-1777 | 2005-07-28 |
| 1194247726 | Steve Uliana | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2017-07-14 |
| 1275066060 | Shayna Purcell | Genetic Counselor, MS | 1000 Central St, Suite 620, Evanston, IL 60201-1777 | 2017-04-07 |
| 1013361807 | Brittany Jo Madden | Genetic Counselor, MS | 1000 Central St, Suite #620, Evanston, IL 60201-1777 | 2016-04-18 |
| 1124489794 | Amy Michele Robke | Speech-Language Pathologist | 1000 Central St, Suite 101, Evanston, IL 60201-1777 | 2016-03-10 |
| 1245690742 | Elizabeth Hodits | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2016-02-26 |
| 1235598038 | Meghann Olive | Speech-Language Pathologist | 1000 Central St, Evanston, IL 60201-1777 | 2016-02-22 |
| 1588083257 | Shilpa Shankar | Pediatrics | 1000 Central St, Evanston, IL 60201-1777 | 2014-04-10 |
| 1164848040 | Adele Maday | Physical Therapist | 1000 Central St, Evanston, IL 60201-1777 | 2014-03-15 |
| 1003230251 | Erin Mohip | Specialist | 1000 Central St, Suite 101, Evanston, IL 60201-1777 | 2014-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649624644 | Zachary Alessandro Marcus | Pediatrics | 1000 Central St Ste 765, Evanston, IL 60201 | 2016-04-16 |
| 1982084372 | Frank J Steinberg | Pediatrics | 807 Davis St Unit 1705, Evanston, IL 60201-7102 | 2015-06-01 |
| 1952621302 | Melanie Thomas | Pediatrics | 1950 Dempster St, Evanston, IL 60202-1016 | 2010-06-08 |
| 1013184118 | Rosita Stephen Pildes | Pediatrics | 1319 Ridge Ave, Evanston, IL 60201 | 2008-05-08 |
| 1245399898 | Bernhard H Allgaier | Pediatrics | 2650 Ridge Ave Ste 1505, Evanston, IL 60201-1718 | 2006-12-08 |
| 1811948243 | Vincent F Biank | Pediatrics | 1000 Central St Ste 800, Evanston, IL 60201-1780 | 2006-05-12 |
| 1487640835 | Shana N Christian | Pediatrics | 2530 Ridge Ave, Evanston, IL 60201-2492 | 2005-09-21 |
| 1831184548 | Depalma Pediatrics Dba Evanston Pediatrics | Pediatrics | 195 Feather Way, Evanston, WY 82930-9227 | 2005-09-19 |
| 1336133065 | Irina Trosman | Pediatrics | 3451 Church St, Evanston, IL 60203-1621 | 2005-09-08 |
| 1639179179 | Irwin Benuck | Pediatrics | 1325 Howard St, Suite 203, Evanston, IL 60202-3766 | 2005-07-27 |
| Find all providers in EVANSTON | ||||
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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.