Active NPI
Frank Roth DO PC
- Family Medicine Physician
- Livonia, MI
National Provider Identifier
1457524456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101004762
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0858214954 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2097910 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.