Jason Roth (NPI# 1033464052, PAC ID# 4183907009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1033464052 |
| PAC ID by PECOS | 4183907009 |
| Professional Enrollment ID | I20190504000009 |
| Full Name | Jason Roth |
| Organization Legal Name | QUALITY BEHAVIORAL HEALTH SERVICES, PLLC |
| Address |
38 Carters Rd Gatesville NC 27938-9302 |
| Phone Number | 7043605747 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2062754427 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 38 Carters Rd, Gatesville, NC 27938-9302 | 7043605747 | QUALITY BEHAVIORAL HEALTH SERVICES, PLLC |
| Organization Legal Name | QUALITY BEHAVIORAL HEALTH SERVICES, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rikki Martin Hester | Clinical Social Worker | Quality Behavioral Health Services, Pllc | 38 Carters Rd, Gatesville, NC 27938-9302 |
| Aquicha Duff | Clinical Social Worker | Quality Behavioral Health Services, Pllc | 38 Carters Rd, Gatesville, NC 27938-9302 |
| Street Address |
38 CARTERS RD |
| City | GATESVILLE |
| State | NC |
| Zip | 27938-9302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rikki Martin Hester | Clinical Social Worker | Quality Behavioral Health Services, Pllc | 38 Carters Rd, Gatesville, NC 27938-9302 |
| Aquicha Duff | Clinical Social Worker | Quality Behavioral Health Services, Pllc | 38 Carters Rd, Gatesville, NC 27938-9302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucretia Paul Newkirk | Nurse Practitioner | Gateway Community Health Centers, Inc. | 501 Main St, Gatesville, NC 27938-9424 |
| Lovika L Horton | Nurse Practitioner | Gateway Community Health Centers, Inc. | 501 Main St, Gatesville, NC 27938-9424 |
| James Wayne Blanton | Physician Assistant | Gateway Community Health Centers, Inc. | 501 Main St, Gatesville, NC 27938-9424 |
| Kimberly J Hair | Nurse Practitioner | Gateway Community Health Centers, Inc. | 501 Main St, Gatesville, NC 27938-9424 |
| City | GATESVILLE |
| Zip Code | 27938 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GATESVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jason 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.