DR. MARYELIZABETH ANNE ROTH (NPI# 1194807206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194807206 |
| Entity Type | Individual |
| Full Name | DR. MARYELIZABETH ANNE ROTH |
| Credential | M.D. |
| Practice Address |
2623 S Seacrest Blvd Suite 65 Boynton Beach FL 33435-7501 |
| Mailing Address |
2623 S Seacrest Blvd Sute 65 Boynton Beach FL 33435-7501 |
| Practice Telephone | 5618066835 |
| Mailing Telephone | 5618066835 |
| Mailing Fax Number | 5618066607 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ME118033 | FL | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD013615E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2623 S SEACREST BLVD SUITE 65 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915636 | Rogelio A Brito | Internal Medicine | 2623 S Seacrest Blvd, Suite 216, Boynton Beach, FL 33435-7501 | 2005-07-08 |
| 1376003467 | Anika Bethel | Internal Medicine | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2019-03-23 |
| 1720574742 | Anitha Chandran | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2018-07-02 |
| 1356847933 | Sanja Hotic Patino | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-04-03 |
| 1134625981 | Oladipo Bankole Cole | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-04-02 |
| 1821594516 | Wayne Fluss | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-04-02 |
| 1205331352 | Kendall Rae Johnson | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-29 |
| 1184129207 | Lilibeth Jauregui | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-29 |
| 1720583974 | David Lloyd Waldburg V | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-29 |
| 1437654662 | Eric Joseph Chacko | Student in an Organized Health Care Education/Training Program | 2623 S Seacrest Blvd, Boynton Beach, FL 33435-7501 | 2018-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417135997 | Nelson Lopez Md Pa | Family Medicine | 2609 W Woolbright Rd, Suite 5, Boynton Beach, FL 33436-6634 | 2008-02-06 |
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| 1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
| 1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
| 1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1013375062 | Kravitz Physician Services, P.a. | Family Medicine | 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 | 2016-02-05 |
| 1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
| 1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
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| City | BOYNTON BEACH |
| Zip Code | 33435 |
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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.