Nathan T Roth (NPI# 1215164348, PAC ID# 4183860992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1215164348 |
| PAC ID by PECOS | 4183860992 |
| Professional Enrollment ID | I20150708000457 |
| Full Name | Nathan T Roth |
| Organization Legal Name | MCCLOW CLARK AND BERK PA |
| Address |
1800 Barrs St Jacksonville FL 32204-4704 |
| Phone Number | 9043087300 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587607577 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100307 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
| 100001 | SHANDS JACKSONVILLE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1800 Barrs St, Jacksonville, FL 32204-4704 | 9043087300 | MCCLOW CLARK AND BERK PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 55% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 93% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 97% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 89% |
| Organization Legal Name | MCCLOW CLARK AND BERK PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Chafin | Diagnostic Radiology | Mcclow Clark and Berk Pa | 105 Marsh Reed Ln, Ponte Vedra Beach, FL 32082-2173 |
| Zachary E Brown | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Michael T Donohue | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1993 Salt Myrtle Ln, Fleming Island, FL 32003-7064 |
| Christopher D Roman | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Joseph L Dunn Jr. | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Ario Rezaei | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Elizabeth A Bathala | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James Wesley Carter | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James M Russell | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| John L Mazzella | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1800 Barrs St, Jacksonville, FL 32204-4704 |
| Street Address |
1800 BARRS ST |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Mazzella | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1800 Barrs St, Jacksonville, FL 32204-4704 |
| Douglass Sherard | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1800 Barrs St, Jacksonville, FL 32204-4704 |
| Justin T Combs | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1800 Barrs St, Jacksonville, FL 32204-4704 |
| Marc H Freeman | Diagnostic Radiology | Drs Mcclow Clark and Berk Pa | 1800 Barrs St, Jacksonville, FL 32204-4704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | JACKSONVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Nathan T Roth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.