Ryan Roth (NPI# 1225453517, PAC ID# 2466779871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225453517 |
| PAC ID by PECOS | 2466779871 |
| Professional Enrollment ID | I20150324001485 |
| Full Name | Ryan Roth |
| Organization Legal Name | PROHEALTH PHYSICIANS PC |
| Address |
415 Killingworth Rd Higganum CT 06441-4370 |
| Phone Number | 8603458535 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355246950 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070020 | MIDDLESEX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 415 Killingworth Rd, Higganum, CT 06441-4370 | 8603458535 | PROHEALTH PHYSICIANS PC |
| Organization Legal Name | PROHEALTH PHYSICIANS PC |
| Physicians | 401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Afsaneh Sharsan | Internal Medicine | Prohealth Physicians PC | 146 Danbury Rd A, New Milford, CT 06776-3427 |
| Stephanie Evette Kilburn | Nurse Practitioner | Prohealth Physicians PC | 631 Quaker S Ln, West Hartford, CT 06110-1026 |
| Jeffrey Goodsell | Family Medicine | Prohealth Physicians PC | 415 Killingworth Rd, Higganum, CT 06441-4370 |
| Isis Sacramento Ferreira | Internal Medicine | Prohealth Physicians PC | 8 D Canal Ct, Avon, CT 06001-3747 |
| Sara Cathleen Reynolds | Nurse Practitioner | Prohealth Physicians PC | 330 Pomfret St, Putnam, CT 06260-1854 |
| Julia Wells | Nurse Practitioner | Prohealth Physicians PC | 52 Peck Rd, Torrington, CT 06790-6107 |
| Lindsey E Quinn | Nurse Practitioner | Prohealth Physicians PC | 116 Washington Ave, Suite 2, North Haven, CT 06473-1721 |
| Holly A Fitzgerald | Nurse Practitioner | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Margaret T Rush | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Sarah Corrigan | Nurse Practitioner | Prohealth Physicians PC | 4 Farm Springs Rd, Farmington, CT 06032-2573 |
| Street Address |
415 KILLINGWORTH RD |
| City | HIGGANUM |
| State | CT |
| Zip | 06441-4370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Goodsell | Family Medicine | Prohealth Physicians PC | 415 Killingworth Rd, Higganum, CT 06441-4370 |
| Sarah F Arseneault | Nurse Practitioner | Prohealth Physicians PC | 415 Killingworth Rd, Higganum, CT 06441-4370 |
| Mario Amleto | Family Medicine | Prohealth Physicians PC | 415 Killingworth Rd, Higganum, CT 06441-4370 |
| Michelle L Slavin | Nurse Practitioner | Prohealth Physicians PC | 415 Killingworth Rd, Higganum, CT 06441-4370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele R Grasso | Physical Therapy | 3 A Candlewood Hill Rd, Higganum, CT 06441-4202 | |
| Christopher S Carlin | Clinical Social Worker | 415 Killingworth Rd 9a, Higganum, CT 06441-4370 |
| City | HIGGANUM |
| Zip Code | 06441 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HIGGANUM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ryan 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.