MICHAEL A ROTH (NPI# 1396893061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396893061 |
| Entity Type | Individual |
| Full Name | MICHAEL A ROTH |
| Other Name | MICHAEL A ROTH |
| Credential | M.D. |
| Practice Address |
42450 W 12 Mile Rd Ste 205 Novi MI 48377-3030 |
| Practice Telephone | 2483476100 |
| Practice Fax Number | 2483476104 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301028327 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326390220 | Michael Stewart Roth | Obstetrics & Gynecology | 2115 Ne 197th Ter, Miami, FL 33179-3127 | 2012-10-03 |
| 1457641110 | Michael Paul Roth | Behavioral Analyst | 3834 Birchwood Cir, Harrisburg, PA 17110-9385 | 2011-04-14 |
| 1093979262 | Michael Scott Roth | Chiropractor | 27 W Columbia St, Hempstead, NY 11550-2410 | 2008-07-16 |
| 1568654044 | Michael Roth | Ophthalmology | 1060 Chestnut St, Ann Arbor, MI 48104-2824 | 2007-08-17 |
| 1124225024 | Michael Donald Roth | Registered Nurse | 11133 Oliver Rd, Mc Kean, PA 16426-2236 | 2007-07-02 |
| 1740405687 | Michael D Roth | Dentist | 403 Washington Lane, Jenkintown, PA 19046 | 2007-04-16 |
| 1912954827 | Michael Stuart Roth | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-05-27 |
| 1255860029 | Michael Andrew Roth | Anesthesiologist Assistant | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-06 |
| 1811423957 | Michael Roth | Internal Medicine | Naval Medical Center Portsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708 | 2017-05-10 |
| 1760927313 | Michael Roth | Physician Assistant | 8268 164th St, Suite 1b-02, Jamaica, NY 11432-1121 | 2017-01-05 |
| Street Address |
42450 W 12 MILE RD STE 205 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619307097 | Janet Wisniewski | Specialist | 25500 Meadowbrook Rd Ste 240&250, Novi, MI 48375 | 2013-11-20 |
| 1194042176 | Novi Health Center P C | Specialist | 39575 W 10 Mile Rd Ste 205, Novi, MI 48375-2949 | 2010-04-29 |
| 1447380217 | Jean Jaffke, M.d., P.C. | Specialist | 46325 W 12 Mile, Suite 325, Novi, MI 48377 | 2007-03-07 |
| 1639270432 | Lisa Ann Barron | Specialist | 44000 W 12 Mile Rd Ste 103, Novi, MI 48377-2646 | 2006-09-26 |
| 1831190917 | Michael A Roth Md PC | Specialist | 42450 W 12 Mile Rd, Novi, MI 48377-3013 | 2005-08-10 |
| 1326595802 | Christian Weder | Specialist | 24360 Novi Rd, Suite A, Novi, MI 48375-2462 | 2016-09-01 |
| 1285073551 | Lisa Turner | Specialist | 41521 W 11 Mile Rd, Novi, MI 48375 | 2013-06-20 |
| 1487923736 | Healthstar Enterprises LLC | Specialist | 44150 W 12 Mile Rd, Ste 200, Novi, MI 48377-2649 | 2011-12-15 |
| 1992086615 | Life Enhancement Center, Pllc | Specialist | 28175 Haggerty Rd, Suite 144, Novi, MI 48377-2903 | 2011-09-08 |
| 1154627982 | Crystal Diagnostic Services | Specialist | 39555 Orchard Hill Pl, Suite 600, Novi, MI 48375-5374 | 2011-01-26 |
| Find all providers in NOVI | ||||
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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.