MICHAEL A ROTH MD PC (NPI# 1831190917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831190917 |
| Entity Type | Organization |
| Organization Name | MICHAEL A ROTH MD PC |
| Practice Address |
42450 W 12 Mile Rd Novi MI 48377-3013 |
| Mailing Address |
42450 W 12 Mile Rd Novi MI 48377-3030 |
| Practice Telephone | 2483476100 |
| Mailing Telephone | 2483476100 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | MISS YOLANDA B ATWOOD (OFFICE MANAGER) |
| Authorized Official Telephone | 2483476100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 6167310 | 05 |
| Street Address |
42450 W 12 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48377-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437547460 | Premier Professional Group LLC | Psychologist | 42450 W 12 Mile Rd, Ste 315, Novi, MI 48377-3013 | 2014-12-29 |
| 1376974733 | Premier Professional Group, LLC | Social Worker | 42450 W 12 Mile Rd, Suite #315, Novi, MI 48377-3013 | 2013-12-10 |
| 1609219690 | Bernadette Angeles Md, PC | Psychiatry & Neurology | 42450 W 12 Mile Rd, Suite 315, Novi, MI 48377-3013 | 2013-04-09 |
| 1770759201 | Robert R Lokar | Dentist | 42450 W 12 Mile Rd, Novi, MI 48377-3013 | 2008-05-05 |
| 1932310844 | Peter Walter Lazarchuk | Dentist | 42450 W 12 Mile Rd, Suite 200, Novi, MI 48377-3013 | 2007-05-24 |
| 1154531531 | John Iaquinta | Dentist | 42450 W 12 Mile Rd, Suite 200, Novi, MI 48377-3013 | 2007-05-23 |
| 1093747149 | Bernadette L. Angeles | Psychiatry & Neurology | 42450 W 12 Mile Rd, 315, Novi, MI 48377-3013 | 2006-07-07 |
| 1346279916 | Advanced Dental Concepts P.C. | Dentist | 42450 W 12 Mile Rd, Suite 200, Novi, MI 48377-3013 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619307097 | Janet Wisniewski | Specialist | 25500 Meadowbrook Rd Ste 240&250, Novi, MI 48375 | 2013-11-20 |
| 1194042176 | Novi Health Center P C | Specialist | 39575 W 10 Mile Rd Ste 205, Novi, MI 48375-2949 | 2010-04-29 |
| 1447380217 | Jean Jaffke, M.d., P.C. | Specialist | 46325 W 12 Mile, Suite 325, Novi, MI 48377 | 2007-03-07 |
| 1396893061 | Michael A Roth | Specialist | 42450 W 12 Mile Rd Ste 205, Novi, MI 48377-3030 | 2007-01-08 |
| 1639270432 | Lisa Ann Barron | Specialist | 44000 W 12 Mile Rd Ste 103, Novi, MI 48377-2646 | 2006-09-26 |
| 1326595802 | Christian Weder | Specialist | 24360 Novi Rd, Suite A, Novi, MI 48375-2462 | 2016-09-01 |
| 1285073551 | Lisa Turner | Specialist | 41521 W 11 Mile Rd, Novi, MI 48375 | 2013-06-20 |
| 1487923736 | Healthstar Enterprises LLC | Specialist | 44150 W 12 Mile Rd, Ste 200, Novi, MI 48377-2649 | 2011-12-15 |
| 1992086615 | Life Enhancement Center, Pllc | Specialist | 28175 Haggerty Rd, Suite 144, Novi, MI 48377-2903 | 2011-09-08 |
| 1154627982 | Crystal Diagnostic Services | Specialist | 39555 Orchard Hill Pl, Suite 600, Novi, MI 48375-5374 | 2011-01-26 |
| Find all providers in NOVI | ||||
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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.