DR. MICHAEL E ROTH (NPI# 1104911486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104911486 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL E ROTH |
| Credential | DPM |
| Practice Address |
1901 Babcock Rd Suite 200 San Antonio TX 78229-4554 |
| Practice Telephone | 2108723668 |
| Practice Fax Number | 2103621753 |
| Mailing Telephone | 2108723668 |
| Mailing Fax Number | 2103621753 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1272 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 83000G | 01 | |
| TX | 121586504 | 05 | |
| MEDICARE RAILROAD | 480034724 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326390220 | Michael Stewart Roth | Obstetrics & Gynecology | 2115 Ne 197th Ter, Miami, FL 33179-3127 | 2012-10-03 |
| 1457641110 | Michael Paul Roth | Behavioral Analyst | 3834 Birchwood Cir, Harrisburg, PA 17110-9385 | 2011-04-14 |
| 1093979262 | Michael Scott Roth | Chiropractor | 27 W Columbia St, Hempstead, NY 11550-2410 | 2008-07-16 |
| 1568654044 | Michael Roth | Ophthalmology | 1060 Chestnut St, Ann Arbor, MI 48104-2824 | 2007-08-17 |
| 1124225024 | Michael Donald Roth | Registered Nurse | 11133 Oliver Rd, Mc Kean, PA 16426-2236 | 2007-07-02 |
| 1740405687 | Michael D Roth | Dentist | 403 Washington Lane, Jenkintown, PA 19046 | 2007-04-16 |
| 1396893061 | Michael A Roth | Specialist | 42450 W 12 Mile Rd Ste 205, Novi, MI 48377-3030 | 2007-01-08 |
| 1912954827 | Michael Stuart Roth | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-05-27 |
| 1255860029 | Michael Andrew Roth | Anesthesiologist Assistant | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-06 |
| 1811423957 | Michael Roth | Internal Medicine | Naval Medical Center Portsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708 | 2017-05-10 |
| Street Address |
1901 BABCOCK RD SUITE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468791 | Patrick F. Glasow | Pediatrics | 1901 Babcock Rd, Suite 301, San Antonio, TX 78229-4554 | 2005-06-22 |
| 1205468683 | Southlake Bnpt Investment LLC | Clinic/Center | 1901 Babcock Rd, San Antonio, TX 78229-4554 | 2020-02-04 |
| 1811444698 | Michelle Marie Marshall | Counselor | 1901 Babcock Rd, Ste. 102, San Antonio, TX 78229-4554 | 2016-09-08 |
| 1942682869 | Wound Care and Limb Salvage Specialty Group | Preventive Medicine | 1901 Babcock Rd, Suite 200, San Antonio, TX 78229-4554 | 2015-06-27 |
| 1518396589 | Ccn Medical Services LLC | Family Medicine | 1901 Babcock Rd, Suite 102, San Antonio, TX 78229-4554 | 2013-11-11 |
| 1811255714 | Phillip Harrison | Prosthetist | 1901 Babcock Rd, San Antonio, TX 78229-4554 | 2012-04-27 |
| 1184903866 | Carrie M. Hanaoka | Physical Therapy Assistant | 1901 Babcock Rd, Suite 304, San Antonio, TX 78229-4554 | 2011-08-11 |
| 1376871004 | Jessika Marie Garcia | Physical Therapist | 1901 Babcock Rd, Suite 204, San Antonio, TX 78229-4554 | 2009-11-18 |
| 1932366838 | Forte Physical Therapy | Clinic/Center | 1901 Babcock Rd, Suite 204, San Antonio, TX 78229-4554 | 2008-05-19 |
| 1508030248 | Kevin D Scott | Dentist | 1901 Babcock Rd, Suite 101, San Antonio, TX 78229-4554 | 2008-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316494628 | Stride Anew, Pllc | Podiatrist | 13923 Evelina, San Antonio, TX 78253-4416 | 2016-09-02 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1225437916 | Ehi Austin Clinic, Pllc | Podiatrist | 525 Oak Centre Dr Ste 440, San Antonio, TX 78258-3916 | 2014-08-19 |
| 1447675970 | Lawrence A Czelusta, Dpm, PC | Podiatrist | 9325 Schoenthal Rd, San Antonio, TX 78266-2858 | 2014-02-20 |
| 1902019169 | Kenneth Williams Dpm | Podiatrist | 1954 E Houston, Ste 202, San Antonio, TX 78202 | 2007-05-07 |
| 1972641157 | Richard C Adam | Podiatrist | 3026 Hillcrest Dr, San Antonio, TX 78201-7006 | 2007-02-01 |
| 1902969959 | Henry H Swift II | Podiatrist | 15203 Wayside Oaks, San Antonio, TX 78232-3928 | 2006-12-19 |
| 1669530523 | Wilburn Earl Thomas | Podiatrist | 4320 S Gevers St, Suite 300, San Antonio, TX 78223-2216 | 2006-12-04 |
| 1144331083 | W. Brent Gillespie | Podiatrist | 19222 Stonehue Ste 104, San Antonio, TX 78258-3454 | 2006-08-31 |
| 1548271513 | Steven Richard Fredette | Podiatrist | 422 N General Mcmullen Dr, Suite 102, San Antonio, TX 78237-1572 | 2006-08-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on DR. MICHAEL E 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.