Organization Active NPI

Robin Roth PA

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1588783369
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93547 Issued in FL
Legal business name
ROBIN ROTH PA
Practice address
2500 Tamiami TRL N
Suite 112
Naples, FL 34103-4470
Phone
(239) 514-7100
Fax
(239) 514-7108
NPI assigned
Mar 29, 2007
Last updated
Jul 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Robin Roth, MDNPI 1841249067
Title
President
Phone
(239) 514-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME93547 FL Primary

Addresses

Primary practice location

2500 Tamiami TRL N
Suite 112
Naples, FL 34103-4470

Mailing address

2500 Tamiami TRL N
Suite 112
Naples, FL 34103-4470
Phone (239) 514-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070615000007 FL Part B Supplier - Clinic/Group Practice 7618076605 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1020 Goodlette Rd
Naples, FL 34102
Phone (239) 514-7100

2500 Tamiami Trl N
Ste 112
Naples, FL 34103
Phone (239) 206-2880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1588783369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 TAMIAMI TRL N",
            "address_2": "SUITE 112",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034470",
            "telephone_number": "239-514-7100",
            "fax_number": "239-514-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 TAMIAMI TRL N",
            "address_2": "SUITE 112",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034470",
            "telephone_number": "239-514-7100",
            "fax_number": "239-514-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN ROTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-514-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.