DR. BRANDON IAN ROTH (NPI# 1568849990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568849990 |
| Entity Type | Individual |
| Full Name | DR. BRANDON IAN ROTH |
| Credential | M.D. |
| Practice Address |
18555 N 79th Ave Ste D101 Glendale AZ 85308-6040 |
| Mailing Address |
Po Box 6408 Scottsdale AZ 85261-6408 |
| Practice Telephone | 4805636400 |
| Practice Fax Number | 4805638009 |
| Mailing Telephone | 4322542260 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
60636 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 007126 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679733612 | Brandon J Roth | Dentist | 3030 N Ballard Rd, Appleton, WI 54911-8707 | 2008-06-12 |
| Street Address |
18555 N 79TH AVE STE D101 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-6040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548675663 | Bashar Khandaker Ahmed | Anesthesiology | 18555 N 79th Ave Ste D101, Glendale, AZ 85308 | 2014-06-26 |
| 1386290039 | Skeena Deen | Physician Assistant | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2019-08-16 |
| 1336621754 | Frank A Bartucci II | Physician Assistant | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2018-09-01 |
| 1932633286 | Jessica Ray | Nurse Practitioner | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2017-04-13 |
| 1124488317 | Kelli Sue Thompson | Nurse Practitioner | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093001851 | Brian Curtin | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2011-06-21 |
| 1922278381 | Glendale Pain Medicine Associates Inc | Pain Medicine | 710 S Central Ave Ste 340, Glendale, CA 91204-4647 | 2008-03-01 |
| 1740889021 | Midwest Interventional Pain and Diagnostics | Pain Medicine | 525 W River Woods Pkwy Ste 240, Glendale, WI 53212-1010 | 2020-10-19 |
| 1033749023 | Rum LLC | Pain Medicine | 20325 N 51st Ave Ste 102, Glendale, AZ 85308-5665 | 2020-01-19 |
| 1508338765 | Ghomri Health Care Inc | Pain Medicine | 1100 E Broadway Ste 301, Glendale, CA 91205-1380 | 2018-12-27 |
| 1104069145 | Spinecare of Phoenix LLC | Pain Medicine | 16222 N 59th Ave, Ste A-100, Glendale, AZ 85306-1701 | 2009-04-07 |
| 1679785695 | Christopher J. Charbonnet, M.d., A Professional Corporation | Pain Medicine | 1530 E Chevy Chase Dr, Ste 204, Glendale, CA 91206-4163 | 2007-05-03 |
| 1184746380 | Christopher K Kaypekian | Pain Medicine | 1500 S Central Ave, Suite 126, Glendale, CA 91204-2530 | 2007-04-06 |
| 1619950375 | Steven J. Donatello | Pain Medicine | 575 W River Woods Pkwy, #205, Glendale, WI 53212-1003 | 2005-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842485 | Southwest Pain Solutions, LLC | Pain Medicine | 6401 E Caron Dr, Paradise Valley, AZ 85253-1862 | 2020-05-08 |
| 1801422209 | Akg Medical Consulting Pllc | Pain Medicine | 7425 E Shea Blvd # 14, Scottsdale, AZ 85260-6411 | 2020-03-17 |
| 1821652686 | Randall S. Prust Md PC | Pain Medicine | 6060 N Fountain Plaza Dr Ste 170, Tucson, AZ 85704-7875 | 2019-04-26 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1861964686 | Choice Pain Solutions Treatment Center | Pain Medicine | 10565 N Tatum Blvd Ste B115, Paradise Valley, AZ 85253-1095 | 2018-12-18 |
| 1679070379 | Dessert Ridge Professional LLC | Pain Medicine | 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050-5244 | 2018-04-09 |
| 1982124582 | Phoenix Pain Treatment Centers, Pllc | Pain Medicine | 9140 W Thomas Rd Ste B-106, Phoenix, AZ 85037-3378 | 2017-06-23 |
| 1538699491 | Jtm Healthcarellc | Pain Medicine | 12049 W Indian School Road, Suite B210, Avondale, AZ 85392-9505 | 2017-06-14 |
| 1568909562 | T&d Health LLC | Pain Medicine | 30099 N 129th Dr, Peoria, AZ 85383-5267 | 2017-01-27 |
| 1205292315 | Advanced Back and Neck, LLC | Pain Medicine | 1055 W Queen Creek Rd Ste 3, Chandler, AZ 85248-8134 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
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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.