JULIE L ROTH (NPI# 1063673713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063673713 |
| Entity Type | Individual |
| Full Name | JULIE L ROTH |
| Credential | MD |
| Practice Address |
2 Dudley St Suite 555 Providence RI 02905-3236 |
| Practice Telephone | 4014443032 |
| Practice Fax Number | 4014443205 |
| Mailing Telephone | 4014444364 |
| Mailing Fax Number | 4014443236 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
LP01397 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 1063673713 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497897821 | Julie Ann Roth | Acupuncturist | 575 Union Blvd, #109, Lakewood, CO 80228-1240 | 2007-02-13 |
| 1083255194 | Julie Ann Roth | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2019-10-01 |
| 1790094845 | Julie Roth | Physical Therapy Assistant | 1120 Walnut St, North Bend, NE 68649-5012 | 2010-10-06 |
| 1417102781 | Julie Ann Roth | Counselor | 9415 W Forest Home Ave, Suite 108, Hales Corners, WI 53130-1680 | 2008-11-30 |
| 1619195856 | Julie Roth | Specialist/Technologist, Other | 5301 E Huron River Dr, Ypsilanti, MI 48197 | 2007-04-23 |
| 1720091572 | Julie Anne Roth | Family Medicine | 5525 Grossmont Center Dr, La Mesa, CA 91942-3014 | 2006-08-14 |
| Street Address |
2 DUDLEY ST SUITE 555 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343651 | Northeast Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 2 Dudley St, Ste 161, Providence, RI 02905-3236 | 2005-06-01 |
| 1366935231 | Christy Gandhi | Obstetrics & Gynecology | 2 Dudley St, Providence, RI 02905-3236 | 2018-06-14 |
| 1295274215 | Nora Kinslow | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2017-02-23 |
| 1578008082 | Laura Nelson | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-12-20 |
| 1619328127 | Bryan Jon Berlin | Physician Assistant | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-06-27 |
| 1245600238 | Kristin Wedel | Social Worker | 2 Dudley St, Providence, RI 02905-3236 | 2015-10-02 |
| 1497155378 | Michael Platz | Occupational Therapist | 2 Dudley St, Ste 200, Providence, RI 02905-3236 | 2014-08-28 |
| 1164831160 | Nicholas Bruno | Physical Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2014-08-05 |
| 1619389160 | Laurie J Deruosi | Nurse Practitioner | 2 Dudley St, Suite G 85, Providence, RI 02905-3236 | 2014-06-02 |
| 1851729511 | Rhode Island Hospital | Surgery | 2 Dudley St, Suite 180, Providence, RI 02905-3236 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447570296 | Renee Hickey | Psychiatry & Neurology | 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914-5300 | 2010-06-03 |
| 1205025939 | Richard Louis Cervone | Psychiatry & Neurology | 900 Reservoir Ave, Cranston, RI 02910-4417 | 2007-10-18 |
| 1346467560 | Erica Szabados | Psychiatry & Neurology | 725 Reservoir Ave, Suite 308, Cranston, RI 02910-4448 | 2007-04-19 |
| 1639207319 | Garden City Neurology, Ltd | Psychiatry & Neurology | 900 Reservoir Ave, Cranston, RI 02910-4417 | 2007-03-02 |
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on JULIE L ROTH.
| 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.