MS. RENEE L ROTH (NPI# 1295975266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295975266 |
| Entity Type | Individual |
| Full Name | MS. RENEE L ROTH |
| Credential | CNP |
| Practice Address |
9000 N Main St Ste G-36 Englewood OH 45415-1183 |
| Mailing Address |
6680 Poe Ave Suite 200 Dayton OH 45414-2854 |
| Practice Telephone | 9372931622 |
| Practice Fax Number | 9372456308 |
| Mailing Telephone | 9372808400 |
| Mailing Fax Number | 9372808373 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
COA10617NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2983802 | 05 | |
| OH | ANTHEM | 000000611757 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9000 N Main St, Suite G-36, Dayton, OH 45415 | 9372931622 | 9372456308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285945105 | Renee Roth | Speech-Language Pathologist | 1415 E 34th St, Brooklyn, NY 11210-5427 | 2010-06-24 |
| Street Address |
9000 N MAIN ST STE G-36 |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45415-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888482 | Mark A Marinella | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2005-08-18 |
| 1245596626 | Kelly Lynn Robbins Miller | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415 | 2012-04-10 |
| 1023057148 | Howard M Gross | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-06-05 |
| 1851348841 | Tarek M Sabagh | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-05-27 |
| 1801842364 | Shamim Z Jilani | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-05-26 |
| 1164478772 | Jhansi L Koduri | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-05-25 |
| 1730134933 | Charles L Bane | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-05-24 |
| 1972563211 | Roger Allen Wood | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518065 | Cailly Haning | Clinical Nurse Specialist | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682107 | Laura L Hutchinson | Clinical Nurse Specialist | 8821 Blossom Cir Nw, Massillon, OH 44646-1346 | 2019-07-29 |
| 1316417082 | Phyllis A Smith | Clinical Nurse Specialist | 972 Kahn Ave, Hamilton, OH 45011-4458 | 2018-11-26 |
| 1609293281 | Jennifer Colwill | Clinical Nurse Specialist | 253 E 326th St, Willowick, OH 44095-3238 | 2014-03-21 |
| 1710304316 | Esther Lene Bage | Clinical Nurse Specialist | 2226 Yellow Pine Ave, Columbus, OH 43229-4672 | 2014-03-21 |
| 1497311633 | Loletia Davis | Clinical Nurse Specialist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2019-05-14 |
| 1629535299 | Drina Nemes | Clinical Nurse Specialist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2019-03-01 |
| 1578020327 | Sarah R Lendvay | Clinical Nurse Specialist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2019-02-28 |
| 1255824215 | Michelle Louise Porter | Clinical Nurse Specialist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2018-06-13 |
| 1497261218 | Michele Mcphie | Clinical Nurse Specialist | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2017-12-15 |
| 1922528793 | Jennifer Michelle Cohen | Clinical Nurse Specialist | 800 W Main St, Coldwater, OH 45828-1613 | 2017-06-22 |
| 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.