DR. TRACEY ROTH (NPI# 1710970561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710970561 |
| Entity Type | Individual |
| Full Name | DR. TRACEY ROTH |
| Credential | M.D. |
| Practice Address |
399 9th St N #300 Naples FL 34102-5820 |
| Practice Telephone | 2396244200 |
| Practice Fax Number | 2396244201 |
| Mailing Telephone | (239) 624-4200 |
| Mailing Fax Number | 2396244201 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME58465 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 14867A | 01 |
| MEDICARE | 14867W | 01 | |
| FL | 056497400 | 05 |
| Street Address |
399 9TH ST N #300 |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376086934 | Melissa M Guzman | Physician Assistant | 399 9th St N, Naples, FL 34102-5820 | 2016-11-29 |
| 1124267216 | Donna Margaret Witkowski | Physical Therapist | 399 9th St N, Suite 102, Naples, FL 34102-5820 | 2009-02-12 |
| 1235315938 | Gabriel R Hardmeyer | Physician Assistant | 399 9th St N, #300, Naples, FL 34102-5820 | 2008-01-14 |
| 1609937382 | Silvio C. Travalia | Internal Medicine | 399 9th St N, #300, Naples, FL 34102-5820 | 2006-12-13 |
| 1194817395 | Francis C Boucek | Internal Medicine | 399 9th St N, Suite 300, Naples, FL 34102-5820 | 2006-09-28 |
| 1144339383 | Matthew James Palicka | Nurse Practitioner | 399 9th St N, Suite 300, Naples, FL 34102-5820 | 2006-08-30 |
| 1407962392 | Linda Cifani | Nurse Practitioner | 399 9th St N, Suite 300, Naples, FL 34102-5820 | 2006-08-22 |
| 1326070533 | Paula D'ambra | Physician Assistant | 399 9th St N, #300, Naples, FL 34102-5820 | 2006-07-07 |
| 1598733313 | Caroline Hess Shaw | Physician Assistant | 399 9th St N, #300, Naples, FL 34102-5820 | 2006-03-09 |
| 1992799878 | Carlo D. Santos-ocampo | Internal Medicine | 399 9th St N, #300, Naples, FL 34102-5820 | 2005-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992031249 | Naples Cardiac & Endovascular Center Pa | Internal Medicine | 1168 Goodlette-frank Rd N, Naples, FL 34102-5451 | 2009-10-21 |
| 1760504351 | Adam James Frank | Internal Medicine | 300 9th St N Ste 300, Naples, FL 34102-5803 | 2007-04-04 |
| 1558354399 | Ronald L. Levine | Internal Medicine | 680 2nd Ave N, Suite 304, Naples, FL 34102-5753 | 2005-08-26 |
| 1043499585 | Anchor Health Centers Pa | Internal Medicine | 800 Goodlette Rd N, Suite 340, Naples, FL 34102-5400 | 2007-11-01 |
| 1013938331 | Julian J. Javier | Internal Medicine | 680 2nd Ave N, Suite 100, Naples, FL 34102-5753 | 2006-07-21 |
| 1417978743 | Cardiac & Vascular Specialists of Miami Pa | Internal Medicine | 680 2nd Ave N, Suite 203, Naples, FL 34102-5753 | 2006-07-21 |
| 1467404749 | Joseph R Califano | Internal Medicine | 6101 Pine Ridge Rd Fl 3, Naples, FL 34119-3900 | 2006-05-16 |
| 1699730796 | George A Gamouras Md Pa | Internal Medicine | 700 2nd Ave N, Suite 303, Naples, FL 34102-5702 | 2006-04-20 |
| 1427013861 | Naples Heart & Vascular Center Pa | Internal Medicine | 680 2nd Ave N, Suite 304, Naples, FL 34102-5753 | 2006-04-19 |
| 1508833757 | George A Gamouras | Internal Medicine | 6101 Pine Ridge Rd, Desk 12-13, Naples, FL 34119-3900 | 2006-03-07 |
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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.