MARY A ROTH (NPI# 1467618785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467618785 |
| Entity Type | Individual |
| Full Name | MARY A ROTH |
| Credential | FNP |
| Practice Address |
2301 South 65 Highway Marshall MO 65340-3702 |
| Practice Telephone | 6608867800 |
| Practice Fax Number | 6608863328 |
| Mailing Telephone | 6608867800 |
| Mailing Fax Number | 6608313328 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2012-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
149803 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891082566 | Mary Ellen Roth | Counselor | 695 South Street, #6, Chardon, OH 44024 | 2011-07-01 |
| 1851483358 | Mary C Roth | Speech-Language Pathologist | 575 Scarsdale Rd, Tuckahoe, NY 10707-1659 | 2006-09-29 |
| 1336250687 | Mary Kay Roth | Dentist | 807 St Andrew, Rapid City, SD 57701-4526 | 2006-08-31 |
| 1780064139 | Mary Elizabeth Roth | Pharmacist | 101 Manning Dr, Cb 7600, Chapel Hill, NC 27514-4220 | 2015-06-01 |
| 1780028928 | Mary J Roth | Dietitian, Registered | 47 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2013-04-18 |
| 1669790580 | Mary Roth | Social Worker | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2010-05-17 |
| 1467606392 | Mary Deborah Roth | Dietitian, Registered | 3009 N Ballas Rd Ste 216b, Ste 216b, Saint Louis, MO 63131-2322 | 2008-11-05 |
| 1386817377 | Mary Claire Roth | Registered Nurse | 1 River St, Wakefield, RI 02879-3214 | 2008-04-10 |
| 1104947506 | Mary Margaret Roth | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2007-04-03 |
| 1912065160 | Mary Ellen Roth | Optometrist | 4157 Belden Village Mall, Canton, OH 44718-2501 | 2006-12-04 |
| Street Address |
2301 SOUTH 65 HIGHWAY |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657068 | Linda Catherine Steele-green | Pediatrics | 2301 South 65 Highway, Marshall, MO 65340 | 2005-08-30 |
| 1235252453 | Michael G Maurizi | Psychiatry & Neurology | 2301 South 65 Highway, Marshall, MO 65340-3702 | 2007-04-10 |
| 1962467639 | Ted A Harris | Obstetrics & Gynecology | 2301 South 65 Highway, Marshall, MO 65340-3702 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578190088 | Michelle Ann Orange | Nurse Practitioner | 230 Wagon Trl, Marshall, AR 72650-7002 | 2020-03-25 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1679135958 | Bernice Alice Theule | Nurse Practitioner | 111 S Hamilton St, Marshall, MI 49068-1537 | 2019-07-08 |
| 1891207379 | Amy Ellen Jean Howell | Nurse Practitioner | 1174 W Michigan Ave Ste B, Marshall, MI 49068-1625 | 2017-10-24 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1225587934 | Jeremy Scott Utley | Nurse Practitioner | 808 Harper Dr., Marshall, TX 75672 | 2016-09-23 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
| 1669786216 | Pamela Madden Frisby | Nurse Practitioner | 4401 Us Hwy 25/70, Marshall, NC 28753 | 2010-08-05 |
| 1427293067 | Diane Marie Weinreich | Nurse Practitioner | 4 N Jefferson Ave, Marshall, MO 65340-2148 | 2008-12-11 |
| Find all providers in MARSHALL | ||||
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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.