BRYAN JAMES ROTH (NPI# 1811135817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811135817 |
| Entity Type | Individual |
| Full Name | BRYAN JAMES ROTH |
| Credential | DPM |
| Practice Address |
2601 E Roosevelt Ave Phoenix AZ 85008-4973 |
| Mailing Address |
5423 W Beverly Rd Laveen AZ 85339-2896 |
| Practice Telephone | 6023445056 |
| Practice Fax Number | 6023445048 |
| Mailing Telephone | 6023445056 |
| Mailing Fax Number | 6023445048 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2012-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0686 | AZ | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275950305 | Bryan Meckler Roth | Ophthalmology | 9500 Euclid Ave # I13, Cleveland, OH 44195-0001 | 2014-03-26 |
| Street Address |
2601 E ROOSEVELT AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285155127 | Priyanka Begur | Podiatrist | 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 | 2017-06-30 |
| 1861808917 | Amanda Sarah Lernor | Podiatrist | 16841 N 31st Ave Ste 134, Phoenix, AZ 85053-3057 | 2014-07-09 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1790195964 | Melissa Jo Chrisman | Podiatrist | 13838 S 46th Pl Ste 210, Phoenix, AZ 85044-7803 | 2014-04-28 |
| 1669812855 | Zachary Anthony Flynn | Podiatrist | 11209 N Tatum Blvd Ste 100, Phoenix, AZ 85028-3000 | 2013-07-02 |
| 1316290893 | Katherine Edithe Kennedy | Podiatrist | 1728 W Glendale Ave Ste 100, Phoenix, AZ 85021-8862 | 2012-10-20 |
| 1790044261 | Shylaja N Arya | Podiatrist | 3104 E Indian School Rd Ste 110, Phoenix, AZ 85016-6873 | 2012-05-03 |
| 1548440936 | Arizona Foot & Ankle Care, P.C. | Podiatrist | 3201 W Peoria Ave Ste A200, Phoenix, AZ 85029-4699 | 2007-11-14 |
| 1689793895 | Kelvin S Crezee Dpm PC | Podiatrist | 15810 S 45th St Ste 190, Phoenix, AZ 85048-7697 | 2007-03-28 |
| 1104943711 | Tina Marie Woodburn | Podiatrist | 2606 Brigadoon Rd, Phoenix, MD 21131-1603 | 2007-03-26 |
| Find all providers in PHOENIX | ||||
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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.