MARK R ROTH (NPI# 1881638690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881638690 |
| Entity Type | Individual |
| Full Name | MARK R ROTH |
| Credential | PHD, HSPP |
| Practice Address |
333 N Alabama St Suite 350 Indianapolis IN 46204-2034 |
| Mailing Address |
4000 W 106th St Ste 125-125 Carmel IN 46032-7720 |
| Practice Telephone | 3174596755 |
| Mailing Telephone | 3174596755 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20010291 | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200045300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352274 | Mark Roth | Pathology | National Cancer Institute Bldg 10, Room 2s235k, Bethesda, MD 20892-0001 | 2020-09-25 |
| 1356651640 | Mark David Roth | Behavioral Analyst | 118 Maple St, Bangor, ME 04401-4032 | 2010-10-20 |
| 1740313014 | Mark Julian Roth | Dentist | 53 Connecticut Blvd, East Hartford, CT 06108-3055 | 2007-03-14 |
| 1801998893 | Mark Allan Roth | Internal Medicine | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2006-09-01 |
| 1144210279 | Mark D Roth | Surgery | 45 Roadside Ave, Waynesboro, PA 17268-2542 | 2005-10-28 |
| 1083998892 | Mark Roth | Pharmacist | 900 Center Blvd, #246 Pharmacy, Newark, DE 19702-3221 | 2011-09-29 |
| 1609927334 | Mark Samuel Roth | Pediatrics | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2007-01-16 |
| 1770641284 | Mark David Roth | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2006-12-05 |
| Street Address |
333 N ALABAMA ST SUITE 350 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924318 | Pdi Health In LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 333 N Alabama St, Indianapolis, IN 46204-2034 | 2020-05-20 |
| 1013561711 | Signal Health Group, Hospice Care Inc. | Hospice Care, Community Based | 333 N Alabama St, Indianapolis, IN 46204-2034 | 2019-07-31 |
| 1063919827 | Signal Health Group Inc | Internal Medicine | 333 N Alabama St, Indianapolis, IN 46204-2034 | 2018-04-09 |
| 1952852220 | Prosthetic Technologies LLC | Prosthetic/Orthotic Supplier | 333 N Alabama St, Suite 350, Indianapolis, IN 46204-2034 | 2016-10-20 |
| 1629462148 | Excellent Home Care LLC | Home Health | 333 N Alabama St, Ste 353, Indianapolis, IN 46204-2034 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1285128850 | Abigail Cole | Psychologist | 6314 Rucker Rd Ste A, Indianapolis, IN 46220-4800 | 2018-06-18 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1720515893 | Josie Gronbach | Psychologist | 50 E 91st St Ste 316, Indianapolis, IN 46240-1556 | 2017-05-18 |
| 1821469891 | Emma Carter | Psychologist | 603 E Washington St Fl 9, Indianapolis, IN 46204 | 2015-10-15 |
| 1316385081 | Megan A Orr | Psychologist | 2001 W 86th St Fl 7, Indianapolis, IN 46260-1902 | 2013-06-04 |
| 1255775490 | Psychservices Indiana LLC | Psychologist | 5924 1/2 Hillside Avenue East Dr, Indianapolis, IN 46220-2414 | 2013-04-18 |
| 1740557206 | Michael Eric O'brien | Psychologist | 5336 Elmwood Ave, Indianapolis, IN 46203-6023 | 2011-11-28 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
Please comment or provide details below to improve the information on MARK R 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.