DELFORD MARK ROTH (NPI# 1225123458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225123458 |
| Entity Type | Individual |
| Full Name | DELFORD MARK ROTH |
| Credential | D.O. |
| Practice Address |
416 Valley View Dr Suite 301 Scottsbluff NE 69361-1486 |
| Practice Telephone | 3086339021 |
| Practice Fax Number | 3086339023 |
| Mailing Telephone | 3086339021 |
| Mailing Fax Number | 3086339023 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 491 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE LICENSE NUMBER | 491 | 01 |
| Street Address |
416 VALLEY VIEW DR SUITE 301 |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-1486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933932 | Jacob J Krieg | Optometrist | 416 Valley View Dr, Ste 100, Scottsbluff, NE 69361-1486 | 2005-06-27 |
| 1750565560 | Dennis William Black | Dentist | 416 Valley View Dr, Suite 800, Scottsbluff, NE 69361-1486 | 2007-12-28 |
| 1053472191 | Western Cpap Supply, LLC | Durable Medical Equipment & Medical Supplies | 416 Valley View Dr, Suite 307, Scottsbluff, NE 69361-1411 | 2006-12-13 |
| 1710903984 | Bluffs Vision Care, PC | Optometrist | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1486 | 2006-07-14 |
| 1386669133 | North Platte Valley Oral & Maxillofacial Surgery, P.C. | Dentist | 416 Valley View Dr, Suite 800, Scottsbluff, NE 69361-1486 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679079669 | Complete Care Family Practice | Family Medicine | 713 1/2 W 27th St, Scottsbluff, NE 69361-4412 | 2018-03-30 |
| 1942239355 | John Gerard Spethman | Family Medicine | 3911 Avenue B Ste 1100, Scottsbluff, NE 69361-4617 | 2006-06-30 |
| 1710324868 | Aaron James Cisar | Family Medicine | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2013-05-30 |
| 1497980056 | Like He | Family Medicine | 3911 Avenue B Ste 1100, Scottsbluff, NE 69361-4617 | 2009-05-26 |
| 1447450713 | Harkins Family Medicine PC | Family Medicine | 1821 1st Ave, Scottsbluff, NE 69361-2404 | 2007-07-24 |
| 1588799639 | Jacquelynn Michelle Gould | Family Medicine | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2007-02-22 |
| 1912081605 | Shelley J. Mccoy | Family Medicine | 2 W 42nd Street, Suite 2800, Scottsbluff, NE 69361-4660 | 2006-10-25 |
| 1801988266 | Horizons West Medical Group A Professional Corportion | Family Medicine | 3911 Avenue B, Suite 2100, Scottsbluff, NE 69361 | 2006-09-29 |
| 1902908569 | Richard Dan Clark | Family Medicine | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2006-09-03 |
| 1043226517 | Kent Lacey | Family Medicine | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2006-08-01 |
| Find all providers in SCOTTSBLUFF | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
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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.