KEVIN M ROTH


Address: 3315 Broadway, Oakland, CA 94611-5717
Phone: 5104862300

KEVIN M ROTH (NPI# 1679778252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679778252
Entity Type Individual
Full Name KEVIN M ROTH
Credential M.D.
Practice Address 3315 Broadway
Oakland
CA 94611-5717
Mailing Address 200 Porter Dr
Ste 215
San Ramon
CA 94583-1587
Practice Telephone 5104862300
Practice Fax Number 5104862333
Mailing Telephone 9253622166
Mailing Fax Number 8555743055
Enumeration Date 2007-06-15
Last Update Date 2017-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery A121082 CA Allopathic & Osteopathic Physicians

Other Providers KEVIN ROTH

NPI Name Taxonomy Address Enumeration
1831123322 Kevin Howard Roth Counselor 885 Fetters Mill Road, Bryn Athyn, PA 19009 2006-07-10
1538184585 Kevin A Roth Pathology 619 19th Street South, Birmingham, AL 35233 2006-07-12
1386672350 Kevin Roth Emergency Medicine 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 2006-06-29

Office Location

Street Address 3315 BROADWAY
City OAKLAND
State CA
Zip Code 94611-5717

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427041938 Thomas Winfield Peatman Orthopaedic Surgery 3315 Broadway, Oakland, CA 94611-5717 2005-08-30
1659846483 Alexandra Michele Kuizenga Physician Assistant 3315 Broadway, Oakland, CA 94611-5717 2018-10-08
1770014367 Ambreen Zaman Physician Assistant 3315 Broadway, Street Level, Oakland, CA 94611-5717 2017-03-24
1538601182 Trese Biagini Nurse Practitioner 3315 Broadway, Oakland, CA 94611-5717 2016-11-14
1578796439 Shawn Charles Lies Physician Assistant 3315 Broadway, Oakland, CA 94611-5717 2009-08-26
1922294719 Eric S Stuffmann Orthopaedic Surgery 3315 Broadway, Oakland, CA 94611-5717 2007-09-14
1265581037 Ross Talarico Podiatrist 3315 Broadway, Oakland, CA 94611-5717 2007-01-09
1801839188 Michael J Duffy Physician Assistant 3315 Broadway, Oakland, CA 94611-5717 2006-06-14
1316914385 Webster Orthopaedic Medical Group, A Professional Corporation Orthopaedic Surgery 3315 Broadway, Oakland, CA 94611-5717 2006-03-08
1508833377 Kendrick E. Lee Orthopaedic Surgery 3315 Broadway, Oakland, CA 94611-5717 2006-03-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063028454 Abduljabbar Alhammoud Student in an Organized Health Care Education/Training Program Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 2020-09-21
1184287435 Unfold Psychology: A. Heafey Practice Psychologist 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 2019-04-22
1700389699 Katie Herron Student in an Organized Health Care Education/Training Program 2535 Harrison St., Oakland, CA 94611 2018-03-16
1861923351 Hoiwan Cheung Student in an Organized Health Care Education/Training Program 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 2017-03-25
1104377126 Collin Chan Pharmacist 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 2016-10-14
1912457276 Madeline Marie Perket Registered Nurse 933 Kingston Ave, Piedmont, CA 94611 2016-10-11
1962959460 Healing Arts Chiropractic Chiropractor 187 40th Street Way, Oakland, CA 94611 2016-09-01
1033573829 Diana Murphy Counselor 629 Oakland, Oakland, CA 94611 2016-04-08
1437515483 Laura Northrup II Marriage & Family Therapist 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 2016-01-06
1558736835 Michael Joseph Scollard Dentist 42 Linda Ave., Oakland, CA 94611 2015-12-11
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932406519 Webster Orthopaedic Medica Group, A Professional Corporation Orthopaedic Surgery 3300 Webster St Ste 1201, Oakland, CA 94609-3126 2011-02-17
1427265198 Jack H. Stehr, M.d., Professional Corporation Orthopaedic Surgery 350 30th St Ste 424, Oakland, CA 94609-3426 2007-05-16
1881739639 Michael F. Charles Orthopaedic Surgery 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1700973708 Albert Joseph Pepe Orthopaedic Surgery 69 County Rd, Oakland, ME 04963-5221 2006-10-10
1548278468 Scott M Taylor Orthopaedic Surgery 400 29th Street, Suite #400, Oakland, CA 94609 2006-08-04
1114964400 Jeffrey A. Mann Orthopaedic Surgery 350 30th St Ste 530, Oakland, CA 94609-3426 2006-06-02
1003866518 George A. Pugh Orthopaedic Surgery 80 Grand Ave Fl 5, Oakland, CA 94612-3725 2006-05-12
1710954649 William A. Billings Orthopaedic Surgery 80 Grand Ave, Suite 400, Oakland, CA 94612-3725 2006-02-28
1578540472 Terrance Leonard Brown Orthopaedic Surgery 421 Fox Hills Ct, Oakland, CA 94605-5015 2005-12-30
1881684363 Rakesh Donthineni Orthopaedic Surgery 5700 Telegraph Avenue, Suite 100, Oakland, CA 94609-1710 2005-10-25
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94611

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Dataset Information

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.

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