TAYLOR ROTH (NPI# 1437684057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437684057 |
| Entity Type | Individual |
| Full Name | TAYLOR ROTH |
| Credential | M.D. |
| Practice Address |
Keesler Afb 301 Fisher Street Biloxi MS 39534 |
| Practice Telephone | 2283762273 |
| Mailing Telephone | 2283762273 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 27856 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1437684057 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720505175 | Taylor Whitaker Roth | Pharmacist | 1110 Highway 13 N Ste 5, Columbia, MS 39429-2057 | 2017-08-26 |
| 1124583455 | Taylor Roth | Behavior Technician | 4817 Ehrlich Rd, Tampa, FL 33624-2037 | 2019-01-31 |
| Street Address |
KEESLER AFB 301 FISHER STREET |
| City | BILOXI |
| State | MS |
| Zip Code | 39534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417043282 | Giao V Webb | Dentist | Keesler Afb, 606 Fisher St, Biloxi, MI 39534 | 2006-10-05 |
| 1750618617 | Christopher David Fontimayor | Anesthesiology | Keesler Afb, 301 Fisher Street, Biloxi, MS 39534 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| Find all providers in zip 39534 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578615001 | Andrew A. Ragula | Emergency Medicine | 13034b Shriners Blvd, Biloxi, MS 39532-8250 | 2007-01-17 |
| 1326081092 | Thomas Joseph Seglio | Emergency Medicine | 150 Reynoir Street, Biloxi, MS 39530-4199 | 2006-06-13 |
| 1295714160 | Lennis Joseph Derouen | Emergency Medicine | 979 Tommy Munro Dr, Biloxi, MS 39532-2133 | 2006-01-10 |
| 1528590346 | Anthony P Bertasi IIi | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2017-03-30 |
| 1194176883 | Catherine Coss | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2016-06-24 |
| 1134574429 | Adam L Whitaker | Emergency Medicine | 150 Reynoir St, Biloxi, MS 39530-4130 | 2016-04-25 |
| 1770977035 | Brian Ferguson | Emergency Medicine | Keesler Medical Center, 500 Fisher St, Biloxi, MS 39534 | 2015-03-25 |
| 1184044281 | Joshua Nathaniel Burkhardt | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2014-04-16 |
| 1508284613 | Kelley Stanko | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2014-04-04 |
| 1952656183 | Kelly Jean Dewey | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534 | 2012-07-13 |
| Find all providers in BILOXI | ||||
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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.