JULIE ROTH (NPI# 1619195856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619195856 |
| Entity Type | Individual |
| Full Name | JULIE ROTH |
| Credential | MPT |
| Practice Address |
5301 E Huron River Dr Ypsilanti MI 48197 |
| Mailing Address |
2605 Salisbury Ln Ann Arbor MI 48103-2363 |
| Practice Telephone | 7347123531 |
| Mailing Telephone | 7347612738 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 5501007023 | MI | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497897821 | Julie Ann Roth | Acupuncturist | 575 Union Blvd, #109, Lakewood, CO 80228-1240 | 2007-02-13 |
| 1083255194 | Julie Ann Roth | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2019-10-01 |
| 1790094845 | Julie Roth | Physical Therapy Assistant | 1120 Walnut St, North Bend, NE 68649-5012 | 2010-10-06 |
| 1417102781 | Julie Ann Roth | Counselor | 9415 W Forest Home Ave, Suite 108, Hales Corners, WI 53130-1680 | 2008-11-30 |
| 1063673713 | Julie L Roth | Psychiatry & Neurology | 2 Dudley St, Suite 555, Providence, RI 02905-3236 | 2008-06-24 |
| 1720091572 | Julie Anne Roth | Family Medicine | 5525 Grossmont Center Dr, La Mesa, CA 91942-3014 | 2006-08-14 |
| Street Address |
5301 E HURON RIVER DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515268 | Imad Ayyar | Internal Medicine | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2005-06-01 |
| 1134729114 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-10-28 |
| 1730711524 | Stephanie Gibson | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-02-10 |
| 1447801758 | Rachel Kyley Mccready | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-09-27 |
| 1679125579 | Ariana Bennett | Nurse Anesthetist, Certified Registered | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-07-10 |
| 1831758671 | Emily Trombley | Physical Therapist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-06-06 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1437622099 | Lauren Noelle Easterbrook | Registered Nurse | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-01-07 |
| 1023584356 | Mary Lee Beauregard | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-13 |
| 1669947933 | Kay Otto | Speech-Language Pathologist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295227692 | Angel May | Specialist/Technologist, Other | 3905 Brenton Ct Se, Grand Rapids, MI 49508-8948 | 2018-05-31 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1326599937 | Joel Bergwerff | Specialist/Technologist, Other | 2345 Riley St, Hudsonville, MI 49426-9678 | 2016-10-18 |
| 1093264715 | Brittany Adams | Specialist/Technologist, Other | 39749 Fox Valley Dr, Canton, MI 48188-1532 | 2016-09-22 |
| 1790238277 | Lana Ann Colwell | Specialist/Technologist, Other | 102 Arlene Ct, White Lake, MI 48386-1901 | 2016-08-01 |
| 1427400969 | Diane Hines | Specialist/Technologist, Other | 17530 Strathmoor St, Detroit, MI 48235-2725 | 2016-07-08 |
| 1588016331 | Martez Williams | Specialist/Technologist, Other | 3631 Wayburn St, Detroit, MI 48224-3370 | 2016-07-05 |
| 1366893182 | Morgan Kaylee Gadowski | Specialist/Technologist, Other | 197 Lynn Ct, Imlay City, MI 48444-1240 | 2016-06-22 |
| 1124478318 | Katharine Elisabeth Seal | Specialist/Technologist, Other | 45211 Helm St, Plymouth, MI 48170-6023 | 2016-06-17 |
| 1700236247 | Tanya Patrick | Specialist/Technologist, Other | 2306 Mountain Ave, Flint, MI 48503-2298 | 2016-06-15 |
| 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.