DR. DAVID ERICH ROTH (NPI# 1831197250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831197250 |
| Entity Type | Individual |
| Full Name | DR. DAVID ERICH ROTH |
| Credential | MD |
| Practice Address |
3036 Diamond Head Rd. Honolulu HI 96815 |
| Mailing Address |
3036 Diamond Head Rd Honolulu HI 96815-4717 |
| Practice Telephone | 8089237684 |
| Practice Fax Number | 8664528214 |
| Mailing Telephone | 8089237684 |
| Mailing Fax Number | 8664528214 |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2011-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD-11262 | HI | Allopathic & Osteopathic Physicians |
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD11262 | HI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD-11262 | HI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD-11262 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 525-008-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538496690 | David A Roth | Internal Medicine | 412 Andrew Rd, Merion Station, PA 19066-1360 | 2009-11-11 |
| 1922036458 | David M Roth | Optometrist | 136 Ne 2nd Ave, Miami, FL 33132-2509 | 2006-06-30 |
| 1285685594 | David Christian Roth | Dentist | 2651 W 10400 S, Suite 103, South Jordan, UT 84095-8953 | 2006-05-12 |
| 1245289735 | David Julius Roth | Internal Medicine | 1462 Montreal Rd Ste 303, Tucker, GA 30084-6924 | 2006-05-10 |
| 1306322292 | David Milton Roth | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2018-07-14 |
| 1447664230 | David Roth | Pathology | 3400 Spruce St, 6 Gates, Philadelphia, PA 19104-4238 | 2014-06-19 |
| 1801099783 | David Samuel Roth | Psychiatry & Neurology | 1007 Mary St, Waycross, GA 31503-3823 | 2007-06-07 |
| 1942375548 | David A Roth | Internal Medicine | 330 Brookline Ave, Hem/onc, Shapiro 9th Floor, Boston, MA 02215-5400 | 2006-11-21 |
| 1598843161 | David R. Roth | Emergency Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-01 |
| 1477637437 | David R. Roth | Urology | 6701 Fannin St, 8th Floor, Houston, TX 77030-2316 | 2006-10-25 |
| Street Address |
3036 DIAMOND HEAD RD. |
| City | HONOLULU |
| State | HI |
| Zip Code | 96815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956609 | Kristen Nicole Sutton | Counselor | 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 | 2019-01-25 |
| 1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
| 1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
| 1679906614 | Stephen Anthony Reynolds | Psychologist | 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 | 2013-08-13 |
| 1275974834 | Sean David Tarrant | Behavioral Analyst | 456 Keoniana St Apt 304, Honolulu, HI 96815 | 2013-07-11 |
| 1679841928 | Saki Kimura | Physical Therapist | 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 | 2011-12-01 |
| 1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
| 1386813095 | Cck Daniel LLC | Family Medicine | 460 Ena Road, #603, Honolulu, HI 96815 | 2008-02-27 |
| 1932377751 | Ryan Koichi Frasco | Dentist | 3358 Campbell Avenue, Honolulu, HI 96815 | 2008-02-14 |
| 1952522609 | Stephen Richard Ho | Dentist | 438 Hobron Lane, Ste 209, Honolulu, HI 96815 | 2007-05-01 |
| Find all providers in zip 96815 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205459492 | Outcomes Clinic LLC | Psychiatry & Neurology | 243 N Judd St Apt C, Honolulu, HI 96817-1747 | 2020-05-21 |
| 1932564861 | Kahala Clinic for Children & Family Inc | Psychiatry & Neurology | 4211 Waialae Ave Ste 207, Honolulu, HI 96816-5312 | 2015-12-18 |
| 1982876371 | Alayne Yates | Psychiatry & Neurology | 242 Opihikao Way, Honolulu, HI 96825 | 2008-03-26 |
| 1831398148 | Josephine Pardenilla Horita | Psychiatry & Neurology | 4211 Waialae Ave Ste 208, Honolulu, HI 96816-5312 | 2007-07-16 |
| 1548488570 | Lili Kelly | Psychiatry & Neurology | 320 Ohua Ave, Ste 802, Honolulu, HI 96815-3670 | 2007-04-23 |
| 1851456297 | Eberhard Martin Mann | Psychiatry & Neurology | 1650 Kanunu St Ph 1, Honolulu, HI 96814-2743 | 2006-12-26 |
| 1053666842 | Kahala Clinic LLC | Psychiatry & Neurology | 4211 Waialae Ave, Suite 207, Honolulu, HI 96816-5319 | 2012-07-17 |
| 1275770752 | Mind & Body Works, Inc. | Psychiatry & Neurology | 3340 Wauke St, Honolulu, HI 96815-4452 | 2009-01-20 |
| 1699978783 | Judith M Steel | Psychiatry & Neurology | 1356 Lusitana St, 4th Floor, Honolulu, HI 96813-2421 | 2007-06-07 |
| 1184833022 | Tina Rae Melendrez-chu | Psychiatry & Neurology | 1441 Kapiolani Blvd Fl 16, Honolulu, HI 96814-4402 | 2007-05-21 |
| Find all providers in HONOLULU | ||||
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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.