JEROME K ROTH JR. (NPI# 1538132972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538132972 |
| Entity Type | Individual |
| Full Name | JEROME K ROTH JR. |
| Credential | MD |
| Practice Address |
17 Hospital Hill Rd Sharon CT 06069 |
| Mailing Address |
Po Box 1736 17 Hospital Hill Rd Sharon CT 06069 |
| Practice Telephone | 8603640225 |
| Practice Fax Number | 8603641736 |
| Mailing Telephone | 8603640225 |
| Mailing Fax Number | 8603641736 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2016-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 019211 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001192111 | 05 |
| Street Address |
17 HOSPITAL HILL RD |
| City | SHARON |
| State | CT |
| Zip Code | 06069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073072831 | Health Quest Medical Practice, PC | Urology | 17 Hospital Hill Rd, Sharon, CT 06069-2010 | 2019-03-19 |
| 1336618792 | Health Quest Medcial Practice, PC | Urology | 17 Hospital Hill Rd, Sharon, CT 06069-2010 | 2018-11-15 |
| 1417426875 | Health Quest Medical Practice, PC | Obstetrics & Gynecology | 17 Hospital Hill Rd, Sharon, CT 06069-2010 | 2018-11-15 |
| 1861539728 | Associated Northwest Urology | Urology | 17 Hospital Hill Rd, Sharon, CT 06069-2010 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003017757 | Elizabeth Anne Dekker | Dentist | 344 Gay Str, Sharon, CT 06069 | 2007-05-30 |
| 1912026402 | Carl D Marshall | Technician/Technologist | 26 Hospital Hill Rd, Sharon, CT 06069 | 2007-03-28 |
| 1629114376 | Andrew Michael Goldman | Neuromusculoskeletal Medicine & OMM | 106 Upper Main St, Sharon, CT 06069 | 2007-01-29 |
| 1780741249 | Charles S Mirabile Jr. | Psychiatry & Neurology | 18 Upper Main St, Sharon, CT 06069 | 2007-01-03 |
| 1881785301 | Susan D Shannon | Advanced Practice Midwife | 50 America Rd, Sharon, CT 06069 | 2006-09-28 |
| 1265523781 | Robert Schnurr | Obstetrics & Gynecology | 50 Amenia Road, Sharon, CT 06069 | 2006-09-28 |
| 1669583852 | Sara Ellen Cousins | Social Worker | 5 Calkinstown Rd, Sharon, CT 06069 | 2006-08-31 |
| 1023126356 | Roseanne Mckinnon | Social Worker | 200 Cornwall Bridge Rd, Sharon, CT 06069 | 2006-08-28 |
| 1629013123 | Andrew S Whyte | Emergency Medicine | 50 Hospital Hill Dr, Er Department, Sharon, CT 06069 | 2006-06-18 |
| 1720023294 | Richard A Bennek | Emergency Medicine | 50 Hospital Hill Drive, Er Department, Sharon, CT 06069 | 2006-06-18 |
| Find all providers in zip 06069 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861768749 | Philip B. Jensen | Urology | 59 Hilltop Road, Sharon, CT 06069-0727 | 2012-03-26 |
| 1710447222 | Vassar Health Quest Medical Practice of Connecticut Inc. | Urology | 29 Hospital Hill Rd Ste 1400, Sharon, CT 06069-2095 | 2019-03-21 |
| 1073072831 | Health Quest Medical Practice, PC | Urology | 17 Hospital Hill Rd, Sharon, CT 06069-2010 | 2019-03-19 |
| 1336618792 | Health Quest Medcial Practice, PC | Urology | 17 Hospital Hill Rd, Sharon, CT 06069-2010 | 2018-11-15 |
| 1861539728 | Associated Northwest Urology | Urology | 17 Hospital Hill Rd, Sharon, CT 06069-2010 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1407325863 | Health Quest Medical Practice, PC | Urology | 120 Park Lane Poad, Suite A202, New Milford, CT 06776-2445 | 2018-11-15 |
| 1740667815 | Keith Richard O'brien | Urology | 2600 Main St Ste 119, Bridgeport, CT 06606-5305 | 2015-04-28 |
| 1336534312 | David Thomas Ahlborn | Urology | 80 Seymour St Dept Of, Hartford, CT 06106-3315 | 2015-04-06 |
| 1487095451 | Alan Cahn Davidson | Urology | 15 Edgehill Dr, Woodbridge, CT 06525-1418 | 2013-07-08 |
| 1003158106 | Christine White Cumarasamy | Urology | Hartford Hospital Urology Dept, 79 Retreat Avenue, Hartford, CT 06106 | 2013-03-27 |
| 1568722551 | Joseph Mathew Brito IIi | Urology | 789 Howard Ave # Fmp302, New Haven, CT 06519-1304 | 2012-05-23 |
| 1568749612 | Michael G Tager | Urology | 104 Imperial Ave, Westport, CT 06880-5034 | 2011-11-03 |
| 1679869572 | Dana Ufnal Kivlin | Urology | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | 2011-06-20 |
| 1639330079 | Piruz Motamedinia | Urology | 789 Howard Ave # 300, New Haven, CT 06519-1304 | 2008-06-18 |
| 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.