MR. SAMUEL KLEIN ROTH (NPI# 1700827268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700827268 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL KLEIN ROTH |
| Credential | PA |
| Practice Address |
105 Sw Cary Pkwy Suite 300 Cary NC 27511-5600 |
| Practice Telephone | 9194673203 |
| Practice Fax Number | 9194595401 |
| Mailing Telephone | 9194673203 |
| Mailing Fax Number | 9194595401 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
101361 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548431729 | Samuel Caplan Roth | Psychologist | 190 Sumner St, Newton Centre, MA 02459-1954 | 2008-03-17 |
| 1992866735 | Samuel J Roth | Psychologist | 1550 East Beltline Se, Suite 340, Grand Rapids, MI 49506 | 2006-12-13 |
| 1073526471 | Samuel J Roth | Surgery | 158 East Main St, Ste 7, Huntington, NY 11743 | 2006-08-15 |
| 1164495008 | Samuel J Roth | Anesthesiology | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2006-02-10 |
| Street Address |
105 SW CARY PKWY SUITE 300 |
| City | CARY |
| State | NC |
| Zip Code | 27511-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914223 | Kevin P Perry | Urology | 105 Sw Cary Pkwy, Suite 300, Cary, NC 27511-5600 | 2005-10-04 |
| 1780965004 | Associated Urologists of North Carolina Pa | Urology | 105 Sw Cary Pkwy, Suite 300, Cary, NC 27511-5600 | 2011-08-31 |
| 1447462643 | Wake Ophthalmology Associates, Pa | Specialist | 105 Sw Cary Pkwy, Suite 200, Cary, NC 27511-5600 | 2007-05-03 |
| 1306857370 | Jennifer A Hellinger | Physician Assistant | 105 Sw Cary Pkwy, Suite 300, Cary, NC 27511-5600 | 2006-08-11 |
| 1477516326 | John Thomas Ward | Specialist | 105 Sw Cary Pkwy, Suite 200, Cary, NC 27511 | 2006-04-11 |
| 1912975913 | Frank L Tortora | Urology | 105 Sw Cary Pkwy, Suite 300, Cary, NC 27511 | 2006-03-08 |
| 1811965825 | Kevin P Khoudary | Urology | 105 Sw Cary Pkwy, Suite 300, Cary, NC 27511-5600 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336438829 | Claire E Goodwin | Physician Assistant | 115 Cresent Commons Drive, Suite 200, Cary, NC 27518-8102 | 2011-04-05 |
| 1114988292 | Virginia A Jethro | Physician Assistant | 1110 Se Cary Pkwy, Suite 206, Cary, NC 27518-7420 | 2006-03-29 |
| 1073572673 | Cheryl A. Beauman | Physician Assistant | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2006-03-22 |
| 1356997381 | Melanie Buchanan Overcash | Physician Assistant | 540 New Waverly Pl Ste 200, Cary, NC 27518-7422 | 2019-08-15 |
| 1396390514 | Alexandra Rosse Ginn | Physician Assistant | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2019-08-05 |
| 1972083020 | Courtney Nicole Antoinette Lubick | Physician Assistant | 100 Cornerstone Dr, Cary, NC 27519-8453 | 2018-08-17 |
| 1740738061 | Veronica Crump | Physician Assistant | 3700 Nw Cary Pkwy Ste 110, Cary, NC 27513-8446 | 2016-09-15 |
| 1073978854 | Amy Arruda | Physician Assistant | 400 Keisler Dr, Cary, NC 27518-7069 | 2015-12-22 |
| 1396129300 | Katherine Peregrin | Physician Assistant | 210 Towne Village Dr, Weppa, Cary, NC 27513-8910 | 2015-07-20 |
| 1881932481 | Kelly Weitz | Physician Assistant | 115 Kildaire Park Drive, Suite 301, Cary, NC 27518 | 2013-01-17 |
| Find all providers in CARY | ||||
Please comment or provide details below to improve the information on MR. SAMUEL KLEIN ROTH.
| 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.