EARL EUGENE ROTH JR. (NPI# 1124098579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124098579 |
| Entity Type | Individual |
| Full Name | EARL EUGENE ROTH JR. |
| Credential | MD |
| Practice Address |
5891 W Eugie Ave Glendale AZ 85304-1252 |
| Mailing Address |
11001 N Black Canyon Hwy Phoenix AZ 85029-4757 |
| Practice Telephone | 6025886703 |
| Mailing Telephone | 6023712515 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 14021 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 14021 | AZ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 14021 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 448424 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205999646 | Earl J Roth | Chiropractor | 612 Century Ave, Antigo, WI 54409 | 2006-12-18 |
| Street Address |
5891 W EUGIE AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747455 | Cigna Health Care of Arizona Inc | Pharmacy | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2005-08-16 |
| 1891301131 | Hana Pajazetovic | Pharmacist | 5891 W Eugie Ave, Glendale, AZ 85304-1253 | 2020-09-22 |
| 1790394450 | Jacob Nathaniel Bell | Pharmacist | 5891 W Eugie Ave, Glendale, AZ 85304-1253 | 2020-07-29 |
| 1306203195 | Jonathan D Fosbre | Nurse Practitioner | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2016-01-25 |
| 1437596772 | Alexis Ryon | Pharmacist | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2013-05-28 |
| 1831458066 | Nedda Alemi | Internal Medicine | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2012-05-08 |
| 1396971586 | Parul Agarwal | Internal Medicine | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2009-06-02 |
| 1871763433 | Robyn L Rumple | Social Worker | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2008-03-10 |
| 1851518849 | Sally Cargill | Pediatrics | 5891 W Eugie Ave, Glendale, AZ 85304-1252 | 2007-04-19 |
| 1609928639 | Suzanne D Myers | Family Medicine | 5891 W Eugie Ave, Cigna Paseo, Glendale, AZ 85304-1252 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619485489 | Pleasant Pediatrics Plc | Pediatrics | 9980 W Glendale Ave Ste 130, Glendale, AZ 85307-3007 | 2018-01-16 |
| 1518412311 | Saul Grullon | Pediatrics | 7848 73rd Pl, Glendale, NY 11385-7426 | 2016-08-22 |
| 1376921106 | Pleasant Pediatrics Plc | Pediatrics | 5125 W Myrtle Ave, Glendale, AZ 85301-2007 | 2015-05-13 |
| 1770987158 | Alice Abrahamian Md, A Medical Corporation | Pediatrics | 411 N Central Ave Ste 130, Glendale, CA 91203-2092 | 2014-10-14 |
| 1144634510 | Josephine Moukhtar | Pediatrics | 1816 Orchard Ave Apt 1, Glendale, CA 91206-4179 | 2014-06-13 |
| 1386068419 | Jean Bove Goerss | Pediatrics | 7101 W Beardsley Rd, Unit 741, Glendale, AZ 85308-5699 | 2014-02-10 |
| 1811230139 | Caroline Kim Park | Pediatrics | 801 S Chevy Chase Dr Ste 200, Glendale, CA 91205-4435 | 2013-04-04 |
| 1396049235 | Parvaneh Rafaeloff, Md, Inc. | Pediatrics | 1030 S. Glendale Ave #308, Glendale, CA 91205-2866 | 2011-01-07 |
| 1649572652 | Gagik Khoylyan, M.d., Inc. | Pediatrics | 540 N Central Ave Ste 105, Glendale, CA 91203-3350 | 2010-11-23 |
| 1497985386 | Melissa C Jones | Pediatrics | 3575 W Deer Valley Rd, Suite 100, Glendale, AZ 85308 | 2009-07-25 |
| Find all providers in GLENDALE | ||||
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| 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.