Active NPI
Victor S Roth, M.D.
- Occupational Medicine Physician
- Toledo, OH
National Provider Identifier
1215095948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 35.056920
- Practice address
- 1455 W Alexis Rd
GM Powertrain Medical Department
Toledo, OH 43612-4044 - Phone
- (734) 470-4244
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 35.056920 | OH | Primary |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 4301057261 | MI |
Addresses
Primary practice location
1455 W Alexis Rd
GM Powertrain Medical Department
Toledo, OH 43612-4044
Mailing address
5664 Villa France Ave
Ann Arbor, MI 48103-9086
Phone (734) 669-0673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.056920 | OH | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan Mworks | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Ann Arbor, MI
- NPI 1124115365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1215095948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5664 VILLA FRANCE AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039086",
"telephone_number": "734-669-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 W ALEXIS RD",
"address_2": "GM POWERTRAIN MEDICAL DEPARTMENT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436124044",
"telephone_number": "734-470-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "VICTOR",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OH",
"license": "35.056920",
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MI",
"license": "4301057261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.