DR. DONALD BRUCE ROTH (NPI# 1992726541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992726541 |
| Entity Type | Individual |
| Full Name | DR. DONALD BRUCE ROTH |
| Credential | M.D. |
| Practice Address |
560 W Mitchell St Suite 350 Petoskey MI 49770-2275 |
| Practice Telephone | 2314872220 |
| Practice Fax Number | 2314876597 |
| Mailing Telephone | 2314872220 |
| Mailing Fax Number | 2314876597 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301046012 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336224989 | Donald Norman Roth | Psychologist | 6506 Schroeder Rd, Madison, WI 53711-2401 | 2006-10-25 |
| 1548212905 | Donald J. Roth | Dentist | 1000 Newbury Rd, Suite 245, Thousand Oaks, CA 91320-3613 | 2006-05-16 |
| 1699750281 | Donald Roth | Family Medicine | 111 Maltese Dr, Middletown, NY 10940-2115 | 2005-12-07 |
| Street Address |
560 W MITCHELL ST SUITE 350 |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156940 | Melanie S Manary | Internal Medicine | 560 W Mitchell St, Ste 300, Petoskey, MI 49770-2278 | 2005-06-30 |
| 1346862455 | Mclaren Central Michigan | Clinic/Center | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2020-05-12 |
| 1841732617 | Dawn Ebersole | Nurse Practitioner | 560 W Mitchell St, Suite M40, Petoskey, MI 49770-2275 | 2016-11-10 |
| 1689025363 | Kasey Peltier | Nurse Practitioner | 560 W Mitchell St, Suite 505, Petoskey, MI 49770-2275 | 2016-06-24 |
| 1912390741 | Twin Oaks Mental Health Center, LLC | Clinic/Center | 560 W Mitchell St, Suite 208, Petoskey, MI 49770-2275 | 2015-03-18 |
| 1053728840 | Kristi Lynn Dipzinski | Nurse Practitioner | 560 W Mitchell St, Suite 300, Petoskey, MI 49770-2275 | 2014-07-14 |
| 1609281401 | Cale M Sebald | Internal Medicine | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2014-07-01 |
| 1942629530 | Robin Brooks | Audiologist | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2014-04-10 |
| 1295074128 | Lindsay Ann Potts | Physician Assistant | 560 W Mitchell St, Suite 505, Petoskey, MI 49770-2275 | 2013-02-13 |
| 1720327695 | Harbor Neurology Plc | Psychiatry & Neurology | 560 W Mitchell St, Suite 350, Petoskey, MI 49770-2275 | 2013-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932420825 | Christine Kidder D.o. P.l.l.c | Psychiatry & Neurology | 560 W Mitchell St Ste 350, Petoskey, MI 49770-2277 | 2010-06-15 |
| 1811071798 | Great Lakes Neurology, PC | Psychiatry & Neurology | 932 Spring St Ste 102, Petoskey, MI 49770-2286 | 2006-10-25 |
| 1720327695 | Harbor Neurology Plc | Psychiatry & Neurology | 560 W Mitchell St, Suite 350, Petoskey, MI 49770-2275 | 2013-02-12 |
| 1821369752 | Charlene J Sweeney Md Plc | Psychiatry & Neurology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2012-01-24 |
| 1619007051 | Neurology North, P.C. | Psychiatry & Neurology | 560 W Mitchell St, Suite 350, Petoskey, MI 49770-2275 | 2007-03-06 |
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| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
| 1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
| 1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
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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.