DAVID M ROTH (NPI# 1942235338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942235338 |
Entity Type | Individual |
Full Name | DAVID M ROTH |
Credential | PH. D. |
Practice Address |
6535 N Charles St Suite 300 Towson MD 21204-5826 |
Practice Telephone | 4109385252 |
Practice Fax Number | 4109385250 |
Mailing Telephone | 4109385252 |
Mailing Fax Number | 4109385250 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2011-07-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
01469 | MD | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | MEDICARE ID | 856Q | 01 |
MD | 185910500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538496690 | David A Roth | Internal Medicine | 412 Andrew Rd, Merion Station, PA 19066-1360 | 2009-11-11 |
1922036458 | David M Roth | Optometrist | 136 Ne 2nd Ave, Miami, FL 33132-2509 | 2006-06-30 |
1285685594 | David Christian Roth | Dentist | 2651 W 10400 S, Suite 103, South Jordan, UT 84095-8953 | 2006-05-12 |
1245289735 | David Julius Roth | Internal Medicine | 1462 Montreal Rd Ste 303, Tucker, GA 30084-6924 | 2006-05-10 |
1831197250 | David Erich Roth | Pediatrics | 3036 Diamond Head Rd., Honolulu, HI 96815 | 2005-07-09 |
1306322292 | David Milton Roth | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2018-07-14 |
1447664230 | David Roth | Pathology | 3400 Spruce St, 6 Gates, Philadelphia, PA 19104-4238 | 2014-06-19 |
1801099783 | David Samuel Roth | Psychiatry & Neurology | 1007 Mary St, Waycross, GA 31503-3823 | 2007-06-07 |
1942375548 | David A Roth | Internal Medicine | 330 Brookline Ave, Hem/onc, Shapiro 9th Floor, Boston, MA 02215-5400 | 2006-11-21 |
1598843161 | David R. Roth | Emergency Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-01 |
Street Address |
6535 N CHARLES ST SUITE 300 |
City | TOWSON |
State | MD |
Zip Code | 21204-5826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619400306 | Smart Pain Management, LLC | Pain Medicine | 6535 N Charles St, Suite 600, Towson, MD 21204-5826 | 2017-04-10 |
1912459546 | Brianna Maria Garrold | Counselor | 6535 N Charles St, 300, Towson, MD 21204-5826 | 2016-10-31 |
1730530700 | Victoria Kamauff Crandell | Counselor | 6535 N Charles St, Suite 300, Towson, MD 21204-5826 | 2016-06-30 |
1083000103 | Beth Frederick | Psychologist | 6535 N Charles St, Suite 300, Towson, MD 21204-5826 | 2015-04-15 |
1023317518 | Virginia Tai Runko | Psychologist | 6535 N Charles St, Suite 550, Towson, MD 21204-5826 | 2011-03-23 |
1861710824 | Sara Ingrid Jeurling | Psychiatry & Neurology | 6535 N Charles St, Suite 300, Towson, MD 21204-5826 | 2010-05-14 |
1023192283 | Christopher John Squillaro | Psychiatry & Neurology | 6535 N Charles St, Suite 300, Towson, MD 21204-5826 | 2006-10-24 |
1679655401 | Francis S Rotolo | Surgery | 6535 N Charles St, Suite 510, Towson, MD 21204-5826 | 2006-10-20 |
1720160484 | Laurence H Ross | Surgery | 6535 N Charles St, Sutie 510, Towson, MD 21204-5826 | 2006-10-20 |
1063505055 | Elaine Tina Koukoulas | Psychiatry & Neurology | 6535 N Charles St, Suite 300, Towson, MD 21204-5826 | 2006-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
Find all providers in zip 21204 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730740796 | Victoria Hope Coleman-cowger | Psychologist | 407 Terrace Way, Towson, MD 21204-3725 | 2019-06-21 |
1821454893 | Amy S Provan | Psychologist | 630 Piccadilly Rd, Towson, MD 21204-3803 | 2016-01-06 |
1306219811 | Safe Harbor Christian Counseling | Psychologist | 40 Burke Ave, Towson, MD 21286-1124 | 2015-11-05 |
1467854836 | Jaime Kaplan | Psychologist | 8415 Bellona Ln Ste 107, Towson, MD 21204-2015 | 2014-09-17 |
1003125378 | Clear Sky Therapy Services, LLC | Psychologist | 222 Bosley Ave Ste A5, Towson, MD 21204-4328 | 2010-10-04 |
1821293374 | Camay Woodall | Psychologist | 3 Center Road, Towson, MD 21286 | 2007-06-15 |
1427267079 | Walter William Windisch | Psychologist | 6765 N Charles St, Towson, MD 21204-6822 | 2007-05-21 |
1952423972 | Nancy Fiorentino | Psychologist | 222 Bosley Ave Ste C6, Towson, MD 21204-4399 | 2007-04-03 |
1912039157 | Dustin Forrester Sentz | Psychologist | 1107 Kenilworth Dr Ste 208, Towson, MD 21204 | 2007-03-12 |
1447316526 | Paul C Berman | Psychologist | 22 W Pennsylvania Ave, Suite 402, Towson, MD 21204-5017 | 2006-12-31 |
Find all providers in TOWSON |
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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.