MATTHEW C ROTH (NPI# 1366780819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366780819 |
| Entity Type | Individual |
| Full Name | MATTHEW C ROTH |
| Practice Address |
36000 Darnall Loop Fort Hood TX 76544-5095 |
| Mailing Address |
2502 Bacon Ranch Rd Apt 302 Killeen TX 76542-2921 |
| Practice Telephone | 2542888222 |
| Mailing Telephone | 8035541159 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246R00000X | Technician, Pathology | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487283354 | Matthew Francis Roth | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne Ste A501, Grand Rapids, MI 49503-2560 | 2020-04-03 |
| 1801455076 | Matthew D Roth | Physical Therapist | 730 N Hamilton St, Spokane, WA 99202-2045 | 2019-06-11 |
| 1093114464 | Matthew Roth | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2014-08-21 |
| 1841573482 | Matthew Paul Roth | Nurse Anesthetist, Certified Registered | 700 West Ave S, La Crosse, WI 54601 | 2011-09-20 |
| 1275660136 | Matthew J. Roth | Chiropractor | 3187 Western Row Rd, Suite 114, Maineville, OH 45039-8045 | 2007-02-27 |
| Street Address |
36000 DARNALL LOOP |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544-5095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253828 | Erin Michelle Hall | Physician Assistant | 36000 Darnall Loop, Carl R Darnall Amc, Fort Hood, TX 76544 | 2005-05-31 |
| 1194337154 | Chisa C Martin | Nurse Practitioner | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-20 |
| 1114537487 | Richard William Andreasen Jr. | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-03 |
| 1093341919 | Jennifer Marie Pena | Physician Assistant | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-03-23 |
| 1497301691 | Jason Michael Fackender | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2019-08-13 |
| 1801373774 | Joshua Schaepe | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-24 |
| 1477039840 | Carl R Darnall Army Medical Center | Clinic/Center | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-18 |
| 1881182848 | Somer Jean Welch | Social Worker | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-04-25 |
| 1760919609 | Qwanquita Teressa Wright | Social Worker | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2017-05-22 |
| 1609228485 | Kristina E Thompson | General Practice | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| Taxonomy Code | 246R00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035386 | Lonestar Social Services | Technician, Pathology | 302 N Heatherwilde Blvd Ste 200, Pflugerville, TX 78660-3676 | 2020-02-13 |
| 1023526571 | Taylors Learning Center | Technician, Pathology | 11005 Scott St Unit 3001, Houston, TX 77047-1518 | 2018-01-18 |
| 1437767795 | Bexaraid,llc. | Technician, Pathology | 2015 Broadway St, San Antonio, TX 78215-1117 | 2020-07-22 |
Please comment or provide details below to improve the information on MATTHEW C ROTH.
| 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.