John B. Roth Jr., M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

036044899 Issued in IL

Practice address

107 W Jefferson St
Morris, IL 60450-2128

Phone

(815) 942-0683

NPI assigned

Jan 29, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Erik K Muraskas MD LTD

  • Gynecology Physician
  • Morris, IL
  • NPI 1831481712
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1447396361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502128",
            "telephone_number": "815-942-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502128",
            "telephone_number": "815-942-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JOHN",
        "middle_name": "B.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036044899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044899",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa F Rodriguez
• Stephanie I Rodriguez, PT
• George Albert Roebuck, O.D.
• Nichole Roed, LCPC
• Kathleen T. Rogowski, PA-C
• Richard Rotnicki, DO
• Peter Charles Roumeliotis, MD
• Rucnok Vision Care Inc
• Rachel Russell, CF-SLP
• Hailey Ryan

• Gynecology Physician in Morris, IL
• Providers in Morris, IL by specialty
• Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.