DR. JAMES B ROTH (NPI# 1366557928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366557928 |
| Entity Type | Individual |
| Full Name | DR. JAMES B ROTH |
| Credential | D.O. |
| Practice Address |
2755 Herndon Ave Clovis CA 93611-6800 |
| Mailing Address |
9722 E Sierra Ave Clovis CA 93619-9013 |
| Practice Telephone | 5599355491 |
| Practice Fax Number | 5599355719 |
| Mailing Telephone | 5599355491 |
| Mailing Fax Number | 5599355719 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 20A4011 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | USDL | 349152400 | 01 |
| CA | 00AX40110 | 05 | |
| CA | RAILROAD MEDICARE | 010000314 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 E Herndon Ave, Suite 105a, Fresno, CA 937202992 | 5594381245 | 5592612968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053967992 | James M Roth II | Nurse Practitioner | 43 New Scotland Ave # 73, Albany, NY 12208-3478 | 2019-08-15 |
| 1184154882 | James H Roth | Physical Therapy Assistant | 14699 East Hampden Avenue, Aurora, CO 80014 | 2017-06-14 |
| 1881974020 | James Joseph Roth | Counselor | 16260 N 71st St, Scottsdale, AZ 85254-4900 | 2011-08-19 |
| 1437105608 | James Edward Roth | Anesthesiology | 1600 Mcarthur St, Manchester, TN 37355-2522 | 2006-05-26 |
| 1104895705 | James T Roth | Obstetrics & Gynecology | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2006-03-16 |
| 1528055589 | James L Roth | Family Medicine | 1140 Hammond Dr, Suite 350 Building K, Atlanta, GA 30328-5338 | 2005-10-04 |
| 1144227778 | James M Roth | Otolaryngology | 125 Crestview Park Dr Ste 2, Dickson, TN 37055-2853 | 2005-06-28 |
| 1720243520 | James E Roth | Psychiatry & Neurology | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2008-07-22 |
| 1699890590 | James A Roth | Internal Medicine | 1500 Waters Pl, Bronx, NY 10461-2723 | 2007-03-20 |
| 1013071075 | James Gerard Roth | Optometrist | 6857 S Pulaski Rd, Chicago, IL 60629-4151 | 2006-12-21 |
| Street Address |
2755 HERNDON AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943069 | Robert A Strobl | Nurse Anesthetist, Certified Registered | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2005-09-20 |
| 1548806912 | Michelle Perkins | Registered Nurse | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2019-11-20 |
| 1578023289 | Ana Lacey Tilghman | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2019-03-20 |
| 1023592334 | Deniz Baysal Md Inc | General Acute Care Hospital | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-09-21 |
| 1184117483 | Khang Vu | Pharmacist | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-06-11 |
| 1982101598 | Kara Rose Pratt | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-04-10 |
| 1629571740 | Melissa Maduell | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-03-15 |
| 1013439876 | Cheree Nicole Sosin | Pharmacist | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2017-07-13 |
| 1538605068 | Insiya Rasiwala | Internal Medicine | 2755 Herndon Ave, Clovis, CA 93611 | 2017-01-08 |
| 1831542091 | Ana Lucia Atkinson | Speech-Language Pathologist | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649554023 | Mohammad F Shaikh | Surgery | 782 Med Center Dr E Ste 101, Clovis, CA 93611-6890 | 2011-10-04 |
| 1467489518 | Donald L. Myers | Surgery | 10935 E San Felipe Ave, Clovis, CA 93619-9324 | 2006-06-26 |
| 1073571774 | Christina Lynn Maser | Surgery | 729 N Medical Center Dr W Ste 111, Clovis, CA 93611-6880 | 2006-05-02 |
| 1073511127 | Wesley Gordon Jackson | Surgery | 2441 Sample Ave, Clovis, CA 93611-5495 | 2005-07-12 |
| 1255688271 | Ahmad H Othman | Surgery | 2421 W 21st St, Clovis, NM 88101-2006 | 2012-08-09 |
| 1164718524 | Farah Baig Karipineni | Surgery | 729 N Medical Center Dr W Ste 111, Clovis, CA 93611-6880 | 2011-06-23 |
| 1477734747 | Albert M Kwan Md PC | Surgery | 1820 W 21st St, Clovis, NM 88101-4024 | 2007-11-15 |
| 1538284765 | Fred S Hammill | Surgery | Plains Regional Medical Group, 2200 W 21st St, Clovis, NM 88101 | 2007-03-20 |
| 1922118884 | Christopher Kinter | Surgery | 729 N Medical Center Dr W Ste 111, Clovis, CA 93611-6880 | 2006-08-30 |
| 1346299096 | David Alex Stalker | Surgery | 233 Fairway Ter N Ste B, Clovis, NM 88101 | 2006-05-09 |
| Find all providers in CLOVIS | ||||
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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.