Joseph C. Roth, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101008288 Issued in MI

Practice address

11320 S. M 43 Hwy
Delton, MI 49046-9259

Phone

(269) 623-5121

NPI assigned

Sep 5, 2006

Last updated

Nov 19, 2011By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennock Hospital

  dba Corewell Health Pennock Hospital Professional

  • Family Medicine Physician
  • Hastings, MI
  • NPI 1518186295
  NPD (past)
• The Doctors Group, P.C.

  dba Lakeview Family Practice

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1043484322
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1124120597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 S. M 43 HWY.",
            "city": "DELTON",
            "state": "MI",
            "postal_code": "490469259",
            "telephone_number": "269-623-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 S. M 43 HWY",
            "city": "DELTON",
            "state": "MI",
            "postal_code": "490469259",
            "telephone_number": "269-623-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JOSEPH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A Martin, CNM
• Deborah Lynn Pace
• Pennock Hospital (CHPNH TM Clinic Delton Kellog)
• Pennock Hospital Board of Trustees
• Reliant Home Care, LLC
• Robert Secor, FNP
• Jennifer Lynn Sinkler, LPN
• Patricia Catherine Werme

• Family Medicine Physician in Delton, MI
• Providers in Delton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.