Organization Active NPI

Roth Family Medicine,LTD.

  • Primary Care Clinic/Center
  • Fairlawn, OH
National Provider Identifier
1083895460
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35-06-6638R Issued in OH
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

Updated by the provider on Nov 14, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.