STEVEN M. ROTH, M.D., P.C. (NPI# 1265668271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265668271 |
| Entity Type | Organization |
| Organization Name | STEVEN M. ROTH, M.D., P.C. |
| Other Organization Name | AUGUSTA VASCULAR SURGICAL AND VEIN CARE ASSOCIATES |
| Practice Address |
2101 Central Ave Augusta GA 30904-6706 |
| Practice Telephone | 7067368777 |
| Practice Fax Number | 7067382888 |
| Mailing Telephone | 7067368777 |
| Mailing Fax Number | 7067382888 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |
| Authorized Official Name | DR. STEVEN MARK ROTH (PRESIDENT) |
| Authorized Official Telephone | 7067368777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Augusta Vascular Surgical And Vein Care Associates | Doing Business As Name - Organization |
| Street Address |
2101 CENTRAL AVE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316128432 | Francisco Javier Jacome | Surgery | 2101 Central Ave, Augusta, GA 30904-6706 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881863793 | Luis Suarez Jr. | Surgery | 2233 Richards Rd, Augusta, GA 30906-2837 | 2008-02-25 |
| 1659587269 | Charles Herman Wray | Surgery | 3115 Ramsgate Rd, Augusta, GA 30909-3323 | 2007-05-14 |
| 1386056752 | Michael N Neilson | Surgery | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2014-05-20 |
| 1912297557 | Mrinal Shukla | Surgery | 1120 15th St # Ba-4411, Augusta, GA 30912 | 2011-04-16 |
| 1083930812 | Alison Folger Ward | Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2010-04-19 |
| 1104051754 | University Vascular Specialist, Inc. | Surgery | 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 | 2009-05-27 |
| 1588829055 | Aaron Michael Hurd | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2008-07-24 |
| 1689867897 | William S Hiltz | Surgery | 630 13th Street, Suite 250, Augusta, GA 30901-1017 | 2007-08-21 |
| 1932303815 | John Thomas Frederick | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2007-06-13 |
| 1609096585 | Houman Tamaddon | Surgery | 1350 Walton Way, Augusta, GA 30901-2612 | 2007-04-26 |
| Find all providers in AUGUSTA | ||||
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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.