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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A121082 | CA | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
3315 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5717 |
| 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 | ||||
| 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 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| 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 | ||||
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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.