DOUGLAS A ROTH (NPI# 1205873924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205873924 |
| Entity Type | Individual |
| Full Name | DOUGLAS A ROTH |
| Credential | MD |
| Practice Address |
90 S Bedford Rd Mount Kisco Medical Group, PC Mount Kisco NY 10549-3412 |
| Mailing Address |
110 S Bedford Rd Mount Kisco Medical Group, PC Mount Kisco NY 10549-3446 |
| Practice Telephone | 9142411050 |
| Practice Fax Number | 9142422909 |
| Mailing Telephone | 9142411050 |
| Mailing Fax Number | 9142422909 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 186557 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01921351 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427269877 | Douglas Fredric Roth | Dentist | 18134 Powell Rd, Brooksville, FL 34601-1813 | 2007-05-25 |
| 1780629766 | Douglas Mark Roth | Chiropractor | 616 Bultman Dr, Suite B, Sumter, SC 29150-2515 | 2006-06-16 |
| 1306938246 | Douglas Rene Roth | Dentist | 1688 Willow St, Suite F, San Jose, CA 95125-5109 | 2006-09-29 |
| 1245333400 | Douglas Roth | Speech-Language Pathologist | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2006-09-06 |
| 1346212057 | Douglas M Roth | Internal Medicine | 85 Woodland Rd, Summit Medical Group, Short Hills, NJ 07078-2449 | 2006-02-06 |
| Street Address |
90 S BEDFORD RD MOUNT KISCO MEDICAL GROUP, PC |
| City | MOUNT KISCO |
| State | NY |
| Zip Code | 10549-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631762 | Leonard A. Wald | Specialist | 90 S Bedford Rd, Caremount Medical, PC, Mount Kisco, NY 10549-3412 | 2005-06-30 |
| 1427682384 | Aimee Lee | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2020-02-28 |
| 1376186676 | Christina Louise Mcardle | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2019-10-20 |
| 1740835107 | Ashley Thomas | Physician Assistant | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2019-08-02 |
| 1407314156 | Jennifer Difalco | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2019-03-12 |
| 1699267104 | Erica Choset | Physician Assistant | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2018-05-31 |
| 1598277030 | Caremount Health Solutions Aco LLC | Internal Medicine | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2017-10-24 |
| 1639619679 | Theresa M Bottari | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2017-02-23 |
| 1174075824 | Patricia Geraldine Mcpartland | Nurse Practitioner | 90 S Bedford Rd, Caremount Medical PC, Mount Kisco, NY 10549-3412 | 2016-10-28 |
| 1528511409 | Jerel John | Nurse Practitioner | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736618 | The Amerson Center, LLC | Day Training, Developmentally Disabled Services | 13 Timber Rdg, Mount Kisco, NY 10549 | 2018-07-10 |
| 1518496918 | Richard Mark Schnabel | Counselor | 116 Radio Circle, Mt Kisco, NY 10549 | 2017-06-08 |
| 1568997088 | Jodi Baretz | Social Worker | 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 | 2017-04-21 |
| 1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
| 1083153936 | Marissa L Schwartz | Dentist | 359 E Main St Ste 2f, Mount Kisco, NY 10549 | 2017-02-13 |
| 1700249299 | Patricia Harte | Specialist | 15 Caren Court, Mount Kisco, NY 10549 | 2016-04-01 |
| 1154663458 | Nicola Ann Quatrano | Dermatology | 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 | 2013-03-25 |
| 1053671503 | Harvey Joel Rosenberg | Internal Medicine | Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 | 2012-05-17 |
| 1427320597 | Raymond Koloski | Pediatrics | 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 | 2012-02-03 |
| 1114232733 | Bedford Central School District | Local Education Agency (LEA) | 47 West Hyatt Avenue, Mount Kisco, NY 10549 | 2010-08-09 |
| Find all providers in zip 10549 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124217823 | Northern Westchester Plastic Surgery | Plastic Surgery | 83 S Bedford Rd, 2nd Floor, Mount Kisco, NY 10549-3429 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501729 | Hamptons Plastic Surgery, Pllc | Plastic Surgery | 25 Montauk Hwy Ste 1, Quogue, NY 11959-4000 | 2020-09-08 |
| 1881218857 | Jeremy Nikfarjam Md PC | Plastic Surgery | 6c Blue Sea Ln, Great Neck, NY 11024-1500 | 2020-06-04 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1952944852 | Rowe Plastic Surgery of Long Island PC | Plastic Surgery | 100 Manetto Hill Rd Ste 204, Plainview, NY 11803-1311 | 2019-10-23 |
| 1548817083 | Cljohnsonmd PC | Plastic Surgery | 22 W 48th St Ste 300, New York, NY 10036-1818 | 2019-08-20 |
| 1780156620 | David J Pincus Md | Plastic Surgery | 44 Laurel Hill Rd, Centerport, NY 11721-1637 | 2018-12-17 |
| 1437629433 | Craig Baldenhofer Md Pllc | Plastic Surgery | 115 W 27th St Fl 10, New York, NY 10001-6217 | 2018-12-03 |
| 1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
| 1245722719 | Plastic Surgery Practice At Manhattan PC | Plastic Surgery | 139 Plandome Rd # 139, Manhasset, NY 11030-2331 | 2018-05-31 |
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT KISCO |
| Zip Code | 10549 |
Please comment or provide details below to improve the information on DOUGLAS A ROTH.
| 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.