Stephanie A Roth (NPI# 1235314147, PAC ID# 9133243363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1235314147 |
| PAC ID by PECOS | 9133243363 |
| Professional Enrollment ID | I20100825000477 |
| Full Name | Stephanie A Roth |
| Address |
703 W Main St Russellville AR 72801-3616 |
| Gender | F |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040041 | ST MARYS REGIONAL MEDICAL CENTER |
| 040002 | JOHNSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 703 W Main St, Russellville, AR 72801-3616 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Street Address |
703 W MAIN ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip | 72801-3616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Anne Kersh | Registered Dietitian Or Nutrition Professional | 3205 W Main St, Russellville, AR 72801-2301 | |
| Melia R Robertson | Optometry | 3715 W Main St, Russellville, AR 72801-2311 | |
| Andrew M Monfee | Family Medicine | 3812 W Main St, Russellville, AR 72801-2314 | |
| Kenneth Gathright | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Ashley L Burnham | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Jim Lieblong | Optometry | 2800 W Main St, Russellville, AR 72801-2449 | |
| Stacey B Boster | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Karlee A Mater | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Jordyn S Dixon | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Darrell S Gray Jr. | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Find all physicians in zip 72801 | |||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
| Specialty | PODIATRY |
| City + Specialty | RUSSELLVILLE + PODIATRY |
Please comment or provide details below to improve the information on Stephanie A 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.