George Roth, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

016255 Issued in ME

Practice address

49 Spring St
1St Floor
Scarborough, ME 04074-8926

Phone

(207) 885-4479

Fax

(207) 883-2586

NPI assigned

Jun 7, 2006

Last updated

Nov 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1346280849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 US ROUTE 1",
            "address_2": "BUILDING C",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SPRING ST",
            "address_2": "1ST FLOOR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748926",
            "telephone_number": "207-885-4479",
            "fax_number": "207-883-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ME",
            "license": "016255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310830099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford James Rosen, MD
• Melissa Ann Rosenberg, PHD, LCPC, NCC
• Jeffrey A. Rosenblatt, M.D.
• Marisa Rosenthal
• Anne R Rossi, M.D.
• Lori Jill Rothman, OTR
• Linda Rousseau, N.P.
• Alexandra C. Rowell, MS, LGC
• Heidi M Roy, FNP
• Jared Matthew Roy, PA-C

• Neurological Surgery Physician in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Neurological Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.