JOHN B. ROTH JR. (NPI# 1447396361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447396361 |
Entity Type | Individual |
Full Name | JOHN B. ROTH JR. |
Credential | M.D. |
Practice Address |
107 W Jefferson St Morris IL 60450-2128 |
Practice Telephone | 8159420683 |
Mailing Telephone | 8159420683 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2011-09-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
036044899 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036044899 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770767360 | John R Roth | Student in an Organized Health Care Education/Training Program | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2007-12-19 |
1932278793 | John David Roth | Chiropractor | 7064 Beracasa Way, Boca Raton, FL 33433 | 2006-11-07 |
1912921321 | John Scott Roth | Surgery | University of Kentucky Department of Surgery, 800 Rose Street, Room C225, Lexington, KY 40536-0001 | 2006-07-27 |
1568406627 | John Galloway Roth | Podiatrist | 2 East Rolling Crossroads, Suite 55, Catonsville, MD 21228-6212 | 2006-06-16 |
1225039571 | John T. Roth | Audiologist | 904 Pennsylvania Ave, Fort Worth, TX 76104-2225 | 2005-08-09 |
1699772673 | John D Roth | Emergency Medicine | 4133 Medical Center Dr, Broad Top, PA 16621-9001 | 2005-07-05 |
1184271025 | John D Roth Jr. | Speech-Language Pathologist | 101 South St, West Hartford, CT 06110-1967 | 2019-08-26 |
1619390192 | John Roth | Registered Nurse | 4747 290th St, Toledo, OH 43611-1961 | 2014-02-04 |
1447520945 | John Roth | Pharmacist | 1903 State Road 60 E, Lake Wales, FL 33853-4329 | 2011-12-31 |
1427224732 | John Roth | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2008-05-06 |
Street Address |
107 W JEFFERSON ST |
City | MORRIS |
State | IL |
Zip Code | 60450-2128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831481712 | Erik K Muraskas Md Ltd | Obstetrics & Gynecology | 107 W Jefferson St, Morris, IL 60450-2128 | 2011-05-10 |
1699951293 | Morris Medical Center, Ltd. | Obstetrics & Gynecology | 107 W Jefferson St, Morris, IL 60450-2128 | 2008-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
Find all providers in zip 60450 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831481712 | Erik K Muraskas Md Ltd | Obstetrics & Gynecology | 107 W Jefferson St, Morris, IL 60450-2128 | 2011-05-10 |
1699951293 | Morris Medical Center, Ltd. | Obstetrics & Gynecology | 107 W Jefferson St, Morris, IL 60450-2128 | 2008-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477167112 | Omnidoc Health Inc | Obstetrics & Gynecology | 351 Greenleaf St Ste E, Park City, IL 60085-5701 | 2020-09-01 |
1396142857 | Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc | Obstetrics & Gynecology | 1351 W Belmont Ave, Chicago, IL 60657-7195 | 2014-11-28 |
1902171325 | Womens Health Institute of Illinois Ltd | Obstetrics & Gynecology | 10762 W 167th St, Orland Park, IL 60467-5434 | 2012-03-19 |
1609148303 | Archimedes Sison Diamante | Obstetrics & Gynecology | 949 N Euclid Ave, Oak Park, IL 60302-1319 | 2012-01-27 |
1376821025 | Prairieview Gyn LLC | Obstetrics & Gynecology | 3929 Morgan Trl, Bourbonnais, IL 60914-4738 | 2011-07-29 |
1932493236 | Integrative Medical Options LLC | Obstetrics & Gynecology | 305 N. 2nd St, St. Charles, IL 60174 | 2011-06-03 |
1477715142 | Michel Medical Assoc., S.c. | Obstetrics & Gynecology | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2008-06-25 |
1477727550 | All Women's Medical Center | Obstetrics & Gynecology | 3140 W Irving Prk. Rd, Chicago, IL 60618 | 2008-04-18 |
1053581371 | S L Fuentes Md D M Milanes Md Sc | Obstetrics & Gynecology | 107 Center St, Grayslake, IL 60030-1532 | 2008-03-03 |
1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
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.