Active NPI
Steven M. Roth, M.D., P.C.
- Vascular Surgery Physician
- Augusta, GA
National Provider Identifier
1265668271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- STEVEN M. ROTH, M.D., P.C.
- Practice address
- 2101 Central Ave
Augusta, GA 30904-6706 - Phone
- (706) 736-8777
- Fax
- (706) 738-2888
- NPI assigned
- Jun 4, 2009
- 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
- Dr. Steven Mark Roth, M.D.
- Title
- President
- Phone
- (706) 736-8777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | GA | Primary |
Addresses
Primary practice location
2101 Central Ave
Augusta, GA 30904-6706
Mailing address
2101 Central Ave
Augusta, GA 30904-6706
Phone (706) 736-8777
Other names 1
- Augusta Vascular Surgical And Vein Care Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244073600000",
"number": "1265668271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 CENTRAL AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046706",
"telephone_number": "706-736-8777",
"fax_number": "706-738-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CENTRAL AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046706",
"telephone_number": "706-736-8777",
"fax_number": "706-738-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN M. ROTH, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-736-8777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Augusta Vascular Surgical And Vein Care Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.