BENJAMIN ROTH (NPI# 1649620352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649620352 |
| Entity Type | Individual |
| Full Name | BENJAMIN ROTH |
| Practice Address |
3 Erie Ct Oak Park IL 60302-2519 |
| Mailing Address |
2000 Green Rd Ste 300 Ann Arbor MI 48105-1598 |
| Practice Telephone | 7087636747 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215341417 | Benjamin H Roth | Family Medicine | 860 South Columbia Road, Grand Forks, ND 58201 | 2014-06-16 |
| 1104174788 | Benjamin Duncan Roth | Counselor | 340 Rancheros Dr, San Marcos, CA 92069-2900 | 2012-08-29 |
| 1982915716 | Benjamin Roth | Dentist | 100 Whalon St, Fitchburg, MA 01420-7162 | 2010-06-26 |
| 1063733053 | Benjamin Steele Roth | Emergency Medicine | 701 Grove Rd, Greenville, SC 29605-4210 | 2010-06-14 |
| Street Address |
3 ERIE CT |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876077 | Paula B Green | Emergency Medicine | 3 Erie Ct, Oak Park, IL 60302-2519 | 2005-07-28 |
| 1558987883 | Encore Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | 3 Erie Ct, Oak Park, IL 60302-2519 | 2020-06-23 |
| 1003475294 | Karen Ann B Denkov | Nurse Practitioner | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-06-11 |
| 1962067165 | Alteon Health Illinois, Pllc | Emergency Medicine | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-05-03 |
| 1013477926 | Charles Kersten | Student in an Organized Health Care Education/Training Program | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-03-25 |
| 1003374141 | Allison Byrne | Student in an Organized Health Care Education/Training Program | 3 Erie Ct, Oak Park, IL 60302 | 2019-03-07 |
| 1740744895 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-23 |
| 1932672391 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-09 |
| 1255807277 | Pipeline-west Suburban Medical Center, LLC | Psychiatric Unit | 3 Erie Ct, Oak Park, IL 60302-2519 | 2018-10-17 |
| 1538635545 | Pipeline-west Suburban Medical Center, LLC | Skilled Nursing Facility | 3 Erie Ct, Oak Park, IL 60302-2519 | 2018-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441328 | Ishangi Shah | Physician Assistant | 432 Harrison St Apt G, Oak Park, IL 60304-1464 | 2020-06-12 |
| 1073150744 | Taelor Young | Physician Assistant | 6660 Buttonwood Ave, Oak Park, CA 91377-1327 | 2019-12-02 |
| 1356995344 | Shane Sternhill Bellon | Physician Assistant | 4818 Aliano Dr, Oak Park, CA 91377-4828 | 2019-07-28 |
| 1396304788 | Karina Mariel Calderon | Physician Assistant | 610 S Maple Ave Ste 3700, Oak Park, IL 60304-2806 | 2019-06-10 |
| 1699220780 | Katherine Lehman | Physician Assistant | 539 S Cuyler Ave, Oak Park, IL 60304-1502 | 2016-08-18 |
| 1922400472 | Latoya Miller | Physician Assistant | 903 Clinton Ave, Apt 1, Oak Park, IL 60304-1868 | 2014-09-16 |
| 1598026536 | Candice Oberlies | Physician Assistant | 1010 Lake St Ste 500, Oak Park, IL 60301-1135 | 2012-06-06 |
| 1831199264 | Gayatri R. Amin | Physician Assistant | 8750 W 9 Mile Rd, Oak Park, MI 48237-2322 | 2005-07-28 |
| 1184259038 | Aimee Fondell Klinefelter | Physician Assistant | 7047 North Ave, Oak Park, IL 60302-1015 | 2020-03-10 |
| 1225593965 | Stephanie Bachmann | Physician Assistant | 1 Erie Ct Ste 7120, Oak Park, IL 60302-2510 | 2019-02-06 |
| Find all providers in OAK PARK | ||||
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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.