Jennifer Roth (NPI# 1477105427, PAC ID# 6507193083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477105427 |
| PAC ID by PECOS | 6507193083 |
| Professional Enrollment ID | I20190806002924 |
| Full Name | Jennifer Roth |
| Organization Legal Name | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Address |
624 Old Saint Marys Rd Suite A Perryville MO 63775-1837 |
| Phone Number | 5735473232 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133024334 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260110 | SOUTHEASTHEALTH |
| 261311 | PERRY COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 5735473232 | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Organization Legal Name | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Physicians | 151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie J Neal | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 2126 Independence St, Cape Girardeau, MO 63703-5826 |
| Leah Hayman | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 789 S Mount Auburn Rd, Cape Girardeau, MO 63701-6387 |
| Janet S Stewart | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 15 Doctors Park, Cape Girardeau, MO 63703-4927 |
| Amanda J Boatwright | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 371 S Broadview St, Cardiovascular Consultants, Cape Girardeau, MO 63703-5761 |
| Jehan P Murugaser | Family Medicine | Southeast Missouri Hospital Physicians LLC | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 |
| Julianna P Lippert Keck | Family Medicine | Southeast Missouri Hospital Physicians LLC | 310 S Silver Spring Rd, Southeast Wond Care Adn Hyperbariacs, Cape Girardeau, MO 63701-5230 |
| Brian Keenan | Emergency Medicine | Southeast Missouri Hospital Physicians LLC | 725 N Pacific, Southeast Campus Health Clinic, Cape Girardeau, MO 63701-5230 |
| Sterling Alexander Meza | Anesthesiology | Southeast Missouri Hospital Physicians LLC | 1701 Lacey St, Cape Girardeau, MO 63701-5230 |
| Chris Robert Rosenquist | Obstetrics/gynecology | Southeast Missouri Hospital Physicians LLC | 1111 N Mount Auburn Rd, Women First of Southeast Health, Cape Girardeau, MO 63701-3437 |
| Tia M Rademaker | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 2432 E Main St B, Southeast Convenient Care, Jackson, MO 63755-1711 |
| Street Address |
624 OLD SAINT MARYS RD SUITE A |
| City | PERRYVILLE |
| State | MO |
| Zip | 63775-1837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle R Hoeckele | Chiropractic | 1516 Edgemont Blvd, Suite 100, Perryville, MO 63775-1262 | |
| Elizabeth A Morrow | Physician Assistant | Telemedico Physicians Sc | 430 N W St, Perry Oaks Manor, Perryville, MO 63775-1359 |
| Karen Aromando Williams | Certified Registered Nurse Anesthetist (crna) | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Jeffrey W Boss | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Craig A Frayer | Obstetrics/gynecology | Perry County Health System | 434 N W St, Perry County Memorial Hospital, Perryville, MO 63775-1359 |
| George A Pjura | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Michael E Thomas | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Cedric C Strange | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Huan L Nguyen | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Gary Williams | Certified Registered Nurse Anesthetist (crna) | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Find all physicians in zip 63775 | |||
| City | PERRYVILLE |
| Zip Code | 63775 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PERRYVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer 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.