Organization Active NPI

Herbert J. Roth Jr. MD PC

  • Orthopaedic Surgery Physician
  • Troy, MI
National Provider Identifier
1033323712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301407009 Issued in MI
Legal business name
HERBERT J. ROTH JR. MD PC
Practice address
201 W. Big Beaver Rd
Suite 1060
Troy, MI 48084-4100
Phone
(248) 457-9190
Fax
(248) 457-9188
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Herbert J. Roth Jr., M.D.
Title
Physician
Phone
(248) 457-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 4301407009 MI Primary

Addresses

Primary practice location

201 W. Big Beaver Rd
Suite 1060
Troy, MI 48084-4100

Mailing address

PO Box 67000
Drawer 242401
Detroit, MI 48267-2424
Phone (248) 457-9190

National Provider Directory

National Provider Directory

Locations

201 W Big Beaver Rd
Ste 1060
Troy, MI 48084
Phone (248) 457-9190

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033323712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67000",
            "address_2": "DRAWER 242401",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482672424",
            "telephone_number": "248-457-9190",
            "fax_number": "248-457-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W. BIG BEAVER RD",
            "address_2": "SUITE 1060",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844100",
            "telephone_number": "248-457-9190",
            "fax_number": "248-457-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT J. ROTH JR. MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-457-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301407009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.