Scott L. Roth M.D, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

150586 Issued in NY

Legal business name

SCOTT L. ROTH M.D, LLC

Practice address

1012 Elmgrove Rd
Rochester, NY 14624-1324

Phone

(585) 426-4160

Fax

(585) 426-4167

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott Leonard Roth, M.D.

Title

Owner

Phone

(585) 426-4160

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Denhoff, LCSW-R

  • Clinical Social Worker
  • Penfield, NY
  • NPI 1063560241
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1447445291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 ELMGROVE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241324",
            "telephone_number": "585-426-4160",
            "fax_number": "585-426-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 ELMGROVE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241324",
            "telephone_number": "585-426-4160",
            "fax_number": "585-426-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L. ROTH M.D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-426-4160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "150586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01449238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander William Scoglio, PHARM D
• Mary Anne Scollan, LCSW
• Megan Sconiers
• Scooter Store - Rochester LLC
• Heather Joy Scorsone
• Renee Lynn Scott-Webster, LCSW
• Anna Lauren Scott, MBBS, BSC
• Brittany Lynn Scott, PA-C
• Bryan E. Scott, M.D.
• Cassandra R. Scott, FNP

• Medical Specialty Clinic/Center in Rochester, NY
• Providers in Rochester, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.