Gerald James Roth, MD

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

MD00010405 Issued in WA

Practice address

952 21St Ave E
Seattle, WA 98112-3511

Phone

(206) 764-2475

Fax

(206) 764-2689

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093924987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 21ST AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123511",
            "telephone_number": "206-324-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 21ST AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123511",
            "telephone_number": "206-764-2475",
            "fax_number": "206-764-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "GERALD",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "MD00010405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Roter, M.D.
• Amanda Kathleen Roth, MSW
• Christian L Roth, MD
• Elizabeth Roth, MS, RD, CDN
• Ellen Roth, PT
• Gregory Roth, MD
• Heidi Roth, LMHC
• Howard Roth, DPM
• Jeremy Roth
• Mara Y Roth, MD

• General Acute Care Hospital in Seattle, WA
• Providers in Seattle, WA by specialty
• General Acute Care Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.