Active NPI
Herbert J. Roth Jr. MD PC
- Orthopaedic Surgery Physician
- Troy, MI
National Provider Identifier
1033323712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301407009
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 DirectoryLocations
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.