Ronald Roth (NPI# 1013105253, PAC ID# 9638130347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1013105253 |
| PAC ID by PECOS | 9638130347 |
| Professional Enrollment ID | I20041025001052 |
| Full Name | Ronald Roth |
| Organization Legal Name | RONALD ROTH MD PA |
| Address |
1824 Salk Ave Tavares FL 32778-4300 |
| Phone Number | 3522530244 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1974 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668669508 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100057 | FLORIDA HOSPITAL WATERMAN |
| Address | Phone | Organization |
|---|---|---|
| 1824 Salk Ave, Tavares, FL 32778-4300 | 3522530244 | RONALD ROTH MD PA |
| Organization Legal Name | RONALD ROTH MD PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Zeagler | Pathology | Ronald Roth Md Pa | 1824 Salk Ave, Tavares, FL 32778-4300 |
| Chris Kechriotis | Pathology | Ronald Roth Md Pa | 1824 Salk Ave, Tavares, FL 32778-4300 |
| Street Address |
1824 SALK AVE |
| City | TAVARES |
| State | FL |
| Zip | 32778-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Zeagler | Pathology | Ronald Roth Md Pa | 1824 Salk Ave, Tavares, FL 32778-4300 |
| Chris Kechriotis | Pathology | Ronald Roth Md Pa | 1824 Salk Ave, Tavares, FL 32778-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Stark | Rheumatology | 1613 Banning Beach Rd, Tavares, FL 32778-2024 | |
| Maxine A Ruddock | Psychologist, Clinical | 322 N Barrow Ave, Tavares, FL 32778-3002 | |
| Karen K Estill | Psychologist, Clinical | 101 E Maud St, Tavares, FL 32778-3249 | |
| Deborah W Ho | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Brian L Boyd | Psychologist, Clinical | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Marvin L Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Juliet Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Amberlee K Henson | Clinical Psychologist | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| David L Frerking | Chiropractic | 915 E Alfred St, Tavares, FL 32778-3401 | |
| Ebony Monique Rollins | Nurse Practitioner | Community Health Centers, Inc | 212 E Main St, Tavares, FL 32778-3808 |
| Find all physicians in zip 32778 | |||
| City | TAVARES |
| Zip Code | 32778 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | TAVARES + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Ronald 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.