Jennifer E Roth (NPI# 1447250733, PAC ID# 6305808148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447250733 |
| PAC ID by PECOS | 6305808148 |
| Professional Enrollment ID | I20041103000280 |
| Full Name | Jennifer E Roth |
| Organization Legal Name | DIAGNOSTIC CLINIC OF LONGVIEW |
| Address |
2901 4th St Longview TX 75605-5128 |
| Phone Number | 9032323675 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214016559 |
| Number of Group Practice Members | 121 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2901 4th St, Longview, TX 75605-5128 | 9032323675 | DIAGNOSTIC CLINIC OF LONGVIEW |
| Organization Legal Name | DIAGNOSTIC CLINIC OF LONGVIEW |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah Stalter | Psychiatry | Diagnostic Clinic of Longview | 2904 4th St, Suite 107, Longview, TX 75605-5129 |
| Lisa J Vandiemen | Nurse Practitioner | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Elizabeth K Hutcheson | Obstetrics/gynecology | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| David W Doerrfeld | Obstetrics/gynecology | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Moyne T Kornman | Pathology | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| James E Mauldin | Obstetrics/gynecology | Diagnostic Clinic of Longview | 2904 4th St, Longview, TX 75605-5129 |
| Cynthia C Somers | Pediatric Medicine | Diagnostic Clinic of Longview | 1009 N 4th St, Longview, TX 75601-4768 |
| Kimberly A Wyatt | Physician Assistant | Diagnostic Clinic of Longview | 1009 N 4th St, Longview, TX 75601-4768 |
| Joseph F Bianca | Obstetrics/gynecology | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Mary N Mckenzie | Nurse Practitioner | Diagnostic Clinic of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Street Address |
2901 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip | 75605-5128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy Cobb Dossett | Nurse Practitioner | Acs Primary Care Physicians Southwest Pa | 2901 4th St, Longview, TX 75605-5128 |
| Roger S Baker | Anesthesiology | Horizon Anesthesia Associates | 2901 4th St, Longview, TX 75605-5128 |
| Harold R Taylor | Emergency Medicine | Acs Primary Care Physicians Southwest Pa | 2901 4th St, Longview, TX 75605-5128 |
| Stanley R Tunstall | Anesthesiology | Horizon Anesthesia Associates | 2901 4th St, Longview, TX 75605-5128 |
| Virginia Haltom Hardaway | Nurse Practitioner | Acs Primary Care Physicians Southwest Pa | 2901 4th St, Longview, TX 75605-5128 |
| Jacquelyn B Hopkins | Nurse Practitioner | Acs Primary Care Physicians Southwest Pa | 2901 4th St, Longview, TX 75605-5128 |
| Mark J Williams | Anesthesiology | Horizon Anesthesia Associates | 2901 4th St, Longview, TX 75605-5128 |
| Timothy M Tobin | Internal Medicine | Associated Clinicians of East Texas | 2901 4th St, Longview, TX 75605-5128 |
| Rajeev Singh | Cardiovascular Disease (cardiology) | Associated Clinicians of East Texas | 2901 4th St, Longview, TX 75605-5128 |
| Harinder Pal Singh | Emergency Medicine | Acs Primary Care Physicians Southwest Pa | 2901 4th St, Longview, TX 75605-5128 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Cody R Hopson | Chiropractic | 2901 Judson Rd, Longview, TX 75605-1803 | |
| Leslie A Sanders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Joseph H Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Brenton Robinson | Nurse Practitioner | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy A, Longview, TX 75605-2102 |
| Gregory K Wacasey | Optometry | 2834 Bill Owens Pkwy, Longview, TX 75605-2102 | |
| Edward C Ledbetter | Chiropractic | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy, Suite A, Longview, TX 75605-2102 |
| Candis R Mendoza | Chiropractic | 2706 Bill Owens Pkwy, Longview, TX 75605-2136 | |
| Alex J Smith | Internal Medicine | 2107 Courthouse Dr, Suite 103, Longview, TX 75605-2355 | |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Find all physicians in zip 75605 | |||
| City | LONGVIEW |
| Zip Code | 75605 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONGVIEW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer E 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.