DOUGLAS MARK ROTH (NPI# 1780629766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780629766 |
| Entity Type | Individual |
| Full Name | DOUGLAS MARK ROTH |
| Credential | D.C. |
| Practice Address |
616 Bultman Dr Suite B Sumter SC 29150-2515 |
| Practice Telephone | 8037742070 |
| Practice Fax Number | 8037758253 |
| Mailing Telephone | 8037742070 |
| Mailing Fax Number | 8037758253 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3063 | SC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427269877 | Douglas Fredric Roth | Dentist | 18134 Powell Rd, Brooksville, FL 34601-1813 | 2007-05-25 |
| 1306938246 | Douglas Rene Roth | Dentist | 1688 Willow St, Suite F, San Jose, CA 95125-5109 | 2006-09-29 |
| 1245333400 | Douglas Roth | Speech-Language Pathologist | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2006-09-06 |
| 1205873924 | Douglas A Roth | Plastic Surgery | 90 S Bedford Rd, Mount Kisco Medical Group, PC, Mount Kisco, NY 10549-3412 | 2006-06-01 |
| 1346212057 | Douglas M Roth | Internal Medicine | 85 Woodland Rd, Summit Medical Group, Short Hills, NJ 07078-2449 | 2006-02-06 |
| Street Address |
616 BULTMAN DR SUITE B |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467810937 | Sumter Family Health Center | Clinic/Center | 616 Bultman Dr, Suite #a, Sumter, SC 29150-2593 | 2016-01-29 |
| 1376798736 | Mike J Hinkle | Massage Therapist | 616 Bultman Dr, B, Sumter, SC 29150-2593 | 2008-11-25 |
| 1316157480 | Thad Herschel Chalfant | Chiropractor | 616 Bultman Dr, Suite B, Sumter, SC 29150-2515 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637659 | Jordan Thomas Reizer I | Chiropractor | 11 E Calhoun St, Sumter, SC 29150-4315 | 2020-04-14 |
| 1053774174 | Carla Thomas | Chiropractor | 655 Westfield Ct, Sumter, SC 29154-8811 | 2016-04-05 |
| 1376966531 | Tiffany N. Johnson | Chiropractor | 547 Miller Rd, Suite A, Sumter, SC 29150-3332 | 2014-01-23 |
| 1487886826 | Sandhills Clinic of Chiropractic | Chiropractor | 7 Professional Court, Sumter, SC 29150-1927 | 2009-08-19 |
| 1154553543 | Benjamin Leldon Bradshaw | Chiropractor | 7 Professional Ct, Sumter, SC 29150-1927 | 2009-08-18 |
| 1538239694 | Duangmani Friday | Chiropractor | 711 Bultman Drive, Sumter, SC 29150 | 2006-11-08 |
| 1942307897 | John Richard Mcginnis | Chiropractor | 764 W Liberty St, One Medical Ct., Sumter, SC 29150-4748 | 2006-09-20 |
| 1689668097 | Channing Presley Cunningham | Chiropractor | 313 Broad St, Sumter, SC 29150-4123 | 2005-08-31 |
| 1750383642 | Jason T. Harkey | Chiropractor | 429 N Main St, Sumter, SC 29150-4232 | 2005-08-11 |
| 1578182101 | Shannon Leigh Roberts | Chiropractor | 11 E Calhoun St, Sumter, SC 29150-4315 | 2020-04-14 |
| Find all providers in SUMTER | ||||
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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.