Organization Active NPI

Frank Roth DO PC

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1457524456
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101004762 Issued in MI
Legal business name
FRANK ROTH DO PC
Practice address
19223 Merriman Rd
Livonia, MI 48152-1754
Phone
(248) 474-2400
Fax
(248) 474-4730
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Frank Roth, DO
Title
Doctor
Phone
(248) 474-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101004762 MI Primary

Addresses

Primary practice location

19223 Merriman Rd
Livonia, MI 48152-1754

Mailing address

19223 Merriman Rd
Livonia, MI 48152-1754
Phone (248) 474-2400

Other identifiers 2

IdentifierTypeStateIssuer
0858214954OtherMIBLUE CROSS BLUE SHIELD
2097910MedicaidMI

National Provider Directory

National Provider Directory

Locations

19223 Merriman Rd
Livonia, MI 48152
Phone (248) 474-2400

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1457524456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19223 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521754",
            "telephone_number": "248-474-2400",
            "fax_number": "248-474-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19223 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521754",
            "telephone_number": "248-474-2400",
            "fax_number": "248-474-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK ROTH DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-474-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101004762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0858214954",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.