DR. HERBERT J ROTH SR. (NPI# 1568452761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568452761 |
| Entity Type | Individual |
| Full Name | DR. HERBERT J ROTH SR. |
| Credential | MD |
| Practice Address |
31815 Southfield Rd Ste 14 Beverly Hills MI 48025-5471 |
| Mailing Address |
31815 Southfield Rd Ste 10 Beverly Hills MI 48025-5471 |
| Practice Telephone | 2486442700 |
| Practice Fax Number | 2486444783 |
| Mailing Telephone | 2486442700 |
| Mailing Fax Number | 2486444783 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301024915 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992732895 | Herbert J Roth Jr. | Orthopaedic Surgery | 201 W Big Beaver Rd, Ste 1060, Troy, MI 48084 | 2006-06-27 |
| Street Address |
31815 SOUTHFIELD RD STE 14 |
| City | BEVERLY HILLS |
| State | MI |
| Zip Code | 48025-5471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578027991 | Marcia Jean Klucznik | Counselor | 31815 Southfield Rd, Beverly Hills, MI 48025-5471 | 2019-01-30 |
| 1609366434 | Steven Daniel Light | Chiropractor | 31815 Southfield Rd, Suite 17, Beverly Hills, MI 48025 | 2018-05-17 |
| 1356876288 | Small Talk Centers Pllc | Speech-Language Pathologist | 31815 Southfield Rd, Suite 11, Beverly Hills, MI 48025-5471 | 2017-04-28 |
| 1629516687 | Tina Sappington | Speech-Language Pathologist | 31815 Southfield Rd, Suite 11, Beverly Hills, MI 48025-5471 | 2017-02-09 |
| 1033567490 | Medical Village Optical Shoppe Inc. | Optometrist | 31815 Southfield Rd, Suite #12, Beverly Hills, MI 48025-5471 | 2016-05-26 |
| 1912309352 | Mas Counseling Services, Pllc | Social Worker | 31815 Southfield Rd, Suite 27, Beverly Hills, MI 48025-5471 | 2014-09-17 |
| 1407298516 | Deborah Kay Petersen-brand | Mechanotherapist | 31815 Southfield Rd, Ste. 17, Beverly Hills, MI 48025-5471 | 2013-07-18 |
| 1336581453 | Karleen Rosita Brown | Mechanotherapist | 31815 Southfield Rd, Suite 17, Beverly Hills, MI 48025-5471 | 2013-07-18 |
| 1497197545 | Heather Leighmcpherson Hunt | Reflexologist | 31815 Southfield Rd, Ste 17, Beverly Hills, MI 48025-5471 | 2013-07-17 |
| 1962780767 | Village Pediatrics Pllc | Pediatrics | 31815 Southfield Rd, Suite 14, Beverly Hills, MI 48025-5471 | 2011-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| 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 |
|---|---|---|---|---|
| 1265863013 | Sanford Murray Weinstein | Pediatrics | 730 North Rodeo Dr, Beverly Hills, CA 90210 | 2013-12-04 |
| 1962775957 | Jonathan Joseph Goldfinger | Pediatrics | 136 N Le Doux Rd, Beverly Hills, CA 90211-2211 | 2012-02-22 |
| 1033490081 | Carolyn Lee Kipper | Pediatrics | 609 N Arden Dr, Beverly Hills, CA 90210-3509 | 2011-09-05 |
| 1023310687 | Samuel Sungwon Kim | Pediatrics | 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211-2145 | 2010-12-02 |
| 1376535690 | Laurel Jeanine Schramm | Pediatrics | 9033 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211-1837 | 2005-08-22 |
| 1407852148 | Frank K Kwong | Pediatrics | 240 S La Cienega Blvd, Ste 101, Beverly Hills, CA 90211-3313 | 2005-06-27 |
| 1790789683 | Jonathan Daniel Kivitz | Pediatrics | 435 N Roxbury Dr Ste 311, Beverly Hills, CA 90210-5005 | 2005-06-08 |
| 1104465541 | Sam Kim Physician Services Inc | Pediatrics | 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211-2145 | 2020-01-02 |
| 1386165777 | Peter S Waldstein Md A Medical Corporation | Pediatrics | 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211-2145 | 2017-07-06 |
| 1972048916 | Dylan Ochal | Pediatrics | 250 N Robertson Blvd Ste 404, Beverly Hills, CA 90211-1789 | 2016-12-29 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
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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.