KELLY ROTH (NPI# 1760939680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760939680 |
| Entity Type | Individual |
| Full Name | KELLY ROTH |
| Credential | PA-C |
| Practice Address |
82 New Park Ave North Franklin CT 06254-1807 |
| Practice Telephone | 8608897345 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214209 | Kelly Roth | Pharmacist | 230 Route 23, Franklin, NJ 07416-2008 | 2020-10-27 |
| 1346892270 | Kelly Ann Roth | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2019-07-11 |
| 1790209864 | Kelly Ann Roth | Orthotist | 17530 Dugdale Dr, South Bend, IN 46635-1583 | 2017-08-01 |
| 1104837111 | Kelly Ann Roth | Dentist | 1515 Portage St Nw, Suite I, North Canton, OH 44720-2290 | 2006-08-11 |
| Street Address |
82 NEW PARK AVE |
| City | NORTH FRANKLIN |
| State | CT |
| Zip Code | 06254-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975919 | Lisa A Shea | Physician Assistant | 82 New Park Ave, North Franklin, CT 06254-1807 | 2005-07-11 |
| 1003413287 | Victoria Huth | Physical Therapist | 82 New Park Ave, North Franklin, CT 06254-1807 | 2020-10-01 |
| 1275147902 | Okechuku Chukwudi Ekwuabu Jr. | Physical Therapist | 82 New Park Ave, North Franklin, CT 06254-1807 | 2020-09-01 |
| 1639794043 | Kimberly Nicole Godin | Physical Therapist | 82 New Park Ave, North Franklin, CT 06254-1807 | 2020-06-11 |
| 1376189472 | Kaitlin A Dunn | Physical Therapist | 82 New Park Ave, North Franklin, CT 06254-1807 | 2019-11-23 |
| 1649826439 | Rosadel Diaz | Physical Therapist | 82 New Park Ave, North Franklin, CT 06254-1807 | 2019-08-16 |
| 1336628437 | Victoria Lynn Morrell | Physical Therapist | 82 New Park Ave, North Franklin, CT 06254-1807 | 2018-08-09 |
| 1063991164 | Garrett Wayne Wadsworth | Physical Therapist | 82 New Park Ave, North Franklin, CT 06254-1807 | 2018-08-09 |
| 1265929202 | Thomas Brian Patrick | Physician Assistant | 82 New Park Ave, North Franklin, CT 06254-1807 | 2018-04-16 |
| 1609373117 | Allison Fiscus | Occupational Therapist | 82 New Park Ave, North Franklin, CT 06254 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427498807 | Renee Elizabeth Bouffard | Counselor | 10 Meeting House Hill Rd, North Franklin, CT 06254 | 2013-06-28 |
| 1578842928 | Margret Hughes | Counselor | 72 Rte. 32, Franklin, CT 06254 | 2011-08-16 |
| 1174668578 | Pamela Lynne Adams Mish | Marriage & Family Therapist | 7 Hazelwood Drive, 72 Route 32, Franklin, CT 06254 | 2007-02-21 |
| 1083714067 | Richard E Drena | Counselor | #72 Rt 32, North Franklin, CT 06254 | 2006-09-22 |
| 1992127815 | Laura I Burke | Counselor | 10 Meeting House Hill Rd, North Franklin, CT 06254 | 2014-01-12 |
| 1841847878 | Mark David Carper | Home Health Aide | 171 Pleasure Hill Rd, North Franklin, CT 06254-1010 | 2019-08-23 |
| 1619064474 | Cynthia M Mcmahon | Pharmacist | 6 Ward Ln, North Franklin, CT 06254-1016 | 2006-10-05 |
| 1639167034 | Franklin Volunteer Fire Dept Inc | Ambulance | 5 Tyler Rd, Franklin, CT 06254-1126 | 2005-10-10 |
| 1275681025 | Franklin Board of Education | Local Education Agency (LEA) | 206 Pond Rd, North Franklin, CT 06254-1219 | 2007-01-08 |
| 1255751830 | Paul Joseph Dunion Sr. | Counselor | 22 Southgate Cir, N Franklin, CT 06254-1226 | 2014-04-22 |
| Find all providers in zip 06254 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265929202 | Thomas Brian Patrick | Physician Assistant | 82 New Park Ave, North Franklin, CT 06254-1807 | 2018-04-16 |
| 1821472192 | Stephanie H White | Physician Assistant | 82 New Park Ave, North Franklin, CT 06254 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798362 | Brandon H Kusako | Physician Assistant | 34 Maple St Dept Of, Norwalk, CT 06850-3815 | 2020-10-26 |
| 1073137097 | Page Renee Burns | Physician Assistant | 40 Bertrose Ave, Milford, CT 06460-5906 | 2020-06-05 |
| 1043848575 | Caitlin Ann Kimberly | Physician Assistant | 40 Avalon Dr Unit 6331, Milford, CT 06460-8956 | 2020-03-30 |
| 1699307199 | Lindy Carelli | Physician Assistant | 330 Washington St Ste 410, Norwich, CT 06360-2700 | 2020-02-12 |
| 1174166722 | Jacqueline Clarizio | Physician Assistant | 5520 Park Ave Ste 300, Trumbull, CT 06611-3465 | 2019-10-25 |
| 1699260109 | Kristen Jean Mosher | Physician Assistant | 31 Cloverdale Ave, Shelton, CT 06484-2538 | 2018-06-27 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1477964344 | Samuel Silva | Physician Assistant | 226 White St., Danbury, CT 06810 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
| City | NORTH FRANKLIN |
| Zip Code | 06254 |
Please comment or provide details below to improve the information on KELLY ROTH.
| 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.