JASON ROTH (NPI# 1134514706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134514706 |
| Entity Type | Individual |
| Full Name | JASON ROTH |
| Credential | D.O. |
| Practice Address |
405 Silverside Rd Ste 104 Wilmington DE 19809-1768 |
| Practice Telephone | 8443657246 |
| Practice Fax Number | 3024771708 |
| Mailing Telephone | 8443657246 |
| Mailing Fax Number | 3024771708 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | C2-0013778 | DE | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
C2-0013778 | DE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033464052 | Jason Roth | Social Worker | 1000 Ocean Pkwy Ste 5, Brooklyn, NY 11230 | 2012-07-16 |
| 1386976207 | Jason Kyle Roth | Radiology | Integra Imaging Ps, 1200 Westwood Drive, Hamilton, MT 59840-0000 | 2010-02-02 |
| 1841380920 | Jason A Roth | Dentist | 4517 Serrano Parkway, Suite 101, El Dorado Hills, CA 95762 | 2006-10-13 |
| 1144326349 | Jason D Roth | Chiropractor | 1906 30th Ave S, Moorhead, MN 56560-5210 | 2006-09-15 |
| 1104199868 | Jason Roth | Otolaryngology | 1725 W Harrison St Ste 340, Chicago, IL 60612-3852 | 2012-02-10 |
| 1831426485 | Jason Mathew Roth | Physical Therapist | 3319 Avenue N, Brooklyn, NY 11234-2605 | 2009-11-03 |
| 1508816992 | Jason David Roth | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2006-05-10 |
| 1316900665 | Jason Eric Roth | Internal Medicine | 910 W 5th Ave, Suite 1000, Spokane, WA 99204-2966 | 2006-04-08 |
| 1780657304 | Jason T Roth | Emergency Medicine | 11600 W 2nd Pl, St,. Anthony Hospital, Emergency Dept., Lakewood, CO 80228-1527 | 2006-02-13 |
| Street Address |
405 SILVERSIDE RD STE 104 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19809-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232362 | Terence F Duffy | Physical Medicine & Rehabilitation | 405 Silverside Rd Ste 104, Wilmington, DE 19809 | 2006-05-16 |
| 1770122764 | First State Pharmacy | Pain Medicine | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2019-12-23 |
| 1528605912 | Stephen Mccann | Nurse Practitioner | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2019-12-04 |
| 1225419294 | Yasmin Elkhashab | Anesthesiology | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2015-06-15 |
| 1366860793 | Sriniketh Sundar | Anesthesiology | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2014-04-02 |
| 1144527003 | Center for Interventional Pain & Spine, LLC | Chiropractor | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2011-02-11 |
| 1679884977 | Rany Talal Abdallah | Anesthesiology | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881199693 | Raquel Ilanit Huerta | Counselor | 2100 Haven Rd, Apt C, Wilmington, DE 19809 | 2018-03-26 |
| 1548760960 | Phoenix Center for Health and Wellness LLC | Clinic/Center | 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 | 2018-02-13 |
| 1659882850 | Mackenzie Chrisco | Physical Therapist | 606 Greenfield Pl, Wilmington, DE 19809 | 2017-10-16 |
| 1588173207 | Tracy Marie Washington | Social Worker | 221 Philadelphia Pike, Suite 4, Wilmington, DE 19809 | 2017-09-26 |
| 1053766907 | Jacqueline Galya | Occupational Therapist | 510 Duncan Road, Wilmington, DE 19809 | 2016-04-28 |
| 1205290566 | Kathleen Welsh | Behavioral Analyst | 210 Bellefonte, Wilmington, DE 19809 | 2016-04-12 |
| 1861820318 | A Better Chance for Our Children, Inc. | Clinic/Center | 1307 Philadelphia Pike, Wilmington, DE 19809 | 2013-10-19 |
| 1831457415 | Faye Catherine Dube | Counselor | 501 Silverside Road, Suite 50, Wilmington, DE 19809 | 2012-05-02 |
| 1972876977 | Iris Drane | Counselor | 314 Brandywine Blvd., Wilmington, DE 19809 | 2012-02-22 |
| 1821315110 | Mary Lauren Lewis Janusz | Occupational Therapist | 800 Carr Road, Wilmington, DE 19809 | 2010-04-26 |
| Find all providers in zip 19809 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740798784 | Riverfront Physical Medicine LLC | Physical Medicine & Rehabilitation | 131 S West St, Wilmington, DE 19801-5014 | 2018-01-11 |
| 1578673208 | Gerald E Dworkin | Physical Medicine & Rehabilitation | 900 Faulke Rd Suite 200, Wilmington, DE 19803 | 2006-08-30 |
| 1881619005 | Fan Xi | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 | 2006-07-12 |
| 1740232362 | Terence F Duffy | Physical Medicine & Rehabilitation | 405 Silverside Rd Ste 104, Wilmington, DE 19809 | 2006-05-16 |
| 1891918561 | William Roger Atkins Jr. | Physical Medicine & Rehabilitation | 1700 Wawaset St, Suite 100, Wilmington, DE 19806-2142 | 2007-04-11 |
| 1487677407 | Benjamin Evans Wall | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Wilmington, NC 28412-2486 | 2006-07-25 |
| 1366467797 | Jeffery Saul Meyers | Physical Medicine & Rehabilitation | 1600 N Washington St, Wilmington, DE 19802-4722 | 2006-07-13 |
| 1134144173 | John Carl Liguori | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 | 2006-07-12 |
| 1962435578 | Jeffrey S. Meyers, Md and Associates, Pa | Physical Medicine & Rehabilitation | 1600 N Washington St, Wilmington, DE 19802-4722 | 2006-07-08 |
| 1851348981 | Coastal Rehabilitation Associates | Physical Medicine & Rehabilitation | 2800 Ashton Dr, Suite 100, Wilmington, NC 28412-2486 | 2006-05-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19809 |
Please comment or provide details below to improve the information on JASON 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.