Active NPI
Roth Family Medicine,LTD.
- Primary Care Clinic/Center
- Fairlawn, OH
National Provider Identifier
1083895460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 35-06-6638R
- Legal business name
- ROTH FAMILY MEDICINE,LTD.
- Practice address
- 3094 W Market St
Suite 136
Fairlawn, OH 44333-3626 - Phone
- (330) 864-0902
- NPI assigned
- Nov 14, 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
- Marta Roth, MD
- Title
- President
- Phone
- (330) 864-0902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 35-06-6638R | OH | Primary |
Addresses
Primary practice location
3094 W Market St
Suite 136
Fairlawn, OH 44333-3626
Mailing address
3094 W Market St
Fairlawn, OH 44333-3626
Phone (330) 864-0902
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1083895460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3094 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333626",
"telephone_number": "330-864-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3094 W MARKET ST",
"address_2": "SUITE 136",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333626",
"telephone_number": "330-864-0902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROTH FAMILY MEDICINE,LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "MARTA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-864-0902",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OH",
"license": "35-06-6638R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.