DR. JAMES M ROTH (NPI# 1144227778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144227778 |
| Entity Type | Individual |
| Full Name | DR. JAMES M ROTH |
| Credential | M.D. |
| Practice Address |
125 Crestview Park Dr Ste 2 Dickson TN 37055-2853 |
| Mailing Address |
125 Crestview Park Dr Suite 2 Dickson TN 37055-2850 |
| Practice Telephone | 6157405233 |
| Practice Fax Number | 6157405226 |
| Mailing Telephone | 6157405233 |
| Mailing Fax Number | 6157405226 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 38445 | TN | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
38445 | TN | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
38445 | TN | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
38445 | TN | Allopathic & Osteopathic Physicians |
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
38445 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CIGNA | 7714168 | 01 |
| TN | AETNA | 0007459536 | 01 |
| TN | BLUE CROSS AND BLUE SHIEL | 4089622 | 01 |
| TN | MEDICARE RAILROAD | P00160344 | 01 |
| TN | 3896879 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3443 Dickerson Pike Ste 320, Nashville, TN 372072523 | 6159889787 | 6159889797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053967992 | James M Roth II | Nurse Practitioner | 43 New Scotland Ave # 73, Albany, NY 12208-3478 | 2019-08-15 |
| 1184154882 | James H Roth | Physical Therapy Assistant | 14699 East Hampden Avenue, Aurora, CO 80014 | 2017-06-14 |
| 1881974020 | James Joseph Roth | Counselor | 16260 N 71st St, Scottsdale, AZ 85254-4900 | 2011-08-19 |
| 1437105608 | James Edward Roth | Anesthesiology | 1600 Mcarthur St, Manchester, TN 37355-2522 | 2006-05-26 |
| 1104895705 | James T Roth | Obstetrics & Gynecology | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2006-03-16 |
| 1528055589 | James L Roth | Family Medicine | 1140 Hammond Dr, Suite 350 Building K, Atlanta, GA 30328-5338 | 2005-10-04 |
| 1720243520 | James E Roth | Psychiatry & Neurology | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2008-07-22 |
| 1699890590 | James A Roth | Internal Medicine | 1500 Waters Pl, Bronx, NY 10461-2723 | 2007-03-20 |
| 1013071075 | James Gerard Roth | Optometrist | 6857 S Pulaski Rd, Chicago, IL 60629-4151 | 2006-12-21 |
| 1366557928 | James B Roth | Surgery | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2006-08-21 |
| Street Address |
125 CRESTVIEW PARK DR STE 2 |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013226026 | Heather Nicole Mangrum | Nurse Practitioner | 125 Crestview Park Dr Ste 2, Dickson, TN 37055-2853 | 2010-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932622396 | Ear, Nose & Throat Specialists of Nashville At Goodlettsville | Otolaryngology | 3050 Business Park Cir Ste 101, Goodlettsville, TN 37072-3588 | 2017-07-18 |
| 1386011468 | Wiliam Gray Davis | Otolaryngology | 5709 Hearthstone Ln, Brentwood, TN 37027-4313 | 2015-08-25 |
| 1598059545 | Daniel Sacks | Otolaryngology | 4601 Carothers Pkwy Ste 215, Franklin, TN 37067-6003 | 2011-06-07 |
| 1821231572 | John Heaphy | Otolaryngology | Vumc Dept of Oto Med Ctr East South Tower, 1215 21st Avenue South, Suite 7209, Nashville, TN 37232-8605 | 2009-04-10 |
| 1023262466 | Alexander Gelbard | Otolaryngology | Vanderbilt Voice Ctr, 1215 21rst Ave. South. Suite 7302, Nashville, TN 37232-8783 | 2008-11-12 |
| 1699938886 | Jonathan P Hayes | Otolaryngology | 9430 Park West Blvd Ste 330, Knoxville, TN 37923-4203 | 2008-07-08 |
| 1780869735 | Denneny Ent Consultants, Pllc | Otolaryngology | 101 E Blount Ave Ste G10, Knoxville, TN 37920-1637 | 2008-01-08 |
| 1154505428 | Clyde Columbus Mathison II | Otolaryngology | 144 Concord Rd Dept Of, Farragut, TN 37934-2901 | 2007-12-21 |
| 1326242975 | David Allen Gilpin | Otolaryngology | 2301 21st Ave S Ste 300, Nashville, TN 37212-4946 | 2007-06-14 |
| 1407057276 | Mid-south Ear, Nose, and Throat, P.C. | Otolaryngology | 7600 Wolf River Blvd Ste 220, Germantown, TN 38138-1788 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
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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.