Robert J Roth (NPI# 1205807864, PAC ID# 1759444698) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1205807864 |
| PAC ID by PECOS | 1759444698 |
| Professional Enrollment ID | I20090820000613 |
| Full Name | Robert J Roth |
| Organization Legal Name | EAST BAY DERMATOLOGY MEDICAL GROUP INC. |
| Address |
2557 Mowry Ave Suite 25 Fremont CA 94538-1614 |
| Phone Number | 5107974111 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1961 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2466515580 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2557 Mowry Ave, Suite 25, Fremont, CA 94538-1614 | 5107974111 | EAST BAY DERMATOLOGY MEDICAL GROUP INC. |
| Organization Legal Name | EAST BAY DERMATOLOGY MEDICAL GROUP INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunil S Dhawan | Dermatology | East Bay Dermatology Medical Group Inc. | 995 Montague Expy, Suite 111, Milpitas, CA 95035-6827 |
| Shurong Chang | Dermatology | East Bay Dermatology Medical Group Inc. | 2557 Mowry Ave, Suite 25, Fremont, CA 94538-1614 |
| Street Address |
2557 MOWRY AVE SUITE 25 |
| City | FREMONT |
| State | CA |
| Zip | 94538-1614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Paul Lombardi | Hematology/oncology | University Healthcare Alliance | 2557 Mowry Ave, Suite 34, Fremont, CA 94538-1614 |
| William Francis Nicholson | Cardiovascular Disease (cardiology) | 2557 Mowry Ave, Suite 33, Fremont, CA 94538-1614 | |
| Lincy Mathew | Internal Medicine | Washington Township Medical Foundation | 2557 Mowry Ave, Fremont, CA 94538-1614 |
| Jason Van Tassel | Otolaryngology | Washington Township Medical Foundation | 2557 Mowry Ave, Fremont, CA 94538-1614 |
| Prasad V Katta | Endocrinology | Washington Township Medical Foundation | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1614 |
| Yasuhiro Oki | Hematology/oncology | University Healthcare Alliance | 2557 Mowry Ave, Suite 34, Fremont, CA 94538-1614 |
| Arun Srivatsa | Gastroenterology | Washington Township Medical Foundation | 2557 Mowry Ave, Fremont, CA 94538-1614 |
| Lucia F Yumena | Internal Medicine | 2557 Mowry Ave, Suite 33, Fremont, CA 94538-1614 | |
| Timothy E Ortlip | Otolaryngology | Washington Township Medical Foundation | 2557 Mowry Ave, Suite 30, Fremont, CA 94538-1614 |
| Harman Chawla | Infectious Disease | Washington Township Medical Foundation | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1614 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Basil R Besh | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joshua Ramos | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Fremont, CA 94538-1015 |
| Kevin Ngai Ming Yeung | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Geeta Nasika | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Marci C Kneeter | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
| Kelly Trautman | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Emily Hartnett | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joshua M Matthews | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
| Troy Clark Shelton | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Joan P Ferrari | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
| Find all physicians in zip 94538 | |||
| City | FREMONT |
| Zip Code | 94538 |
| Specialty | DERMATOLOGY |
| City + Specialty | FREMONT + DERMATOLOGY |
Please comment or provide details below to improve the information on Robert J Roth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.