Active NPI
Valeri L Roth D O P C
- Facial Plastic Surgery Physician
- Hermitage, PA
National Provider Identifier
1710316583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- Legal business name
- VALERI L ROTH D O P C
- Practice address
- 2213 Shenango Valley Freeway Suite 1a
Hermitage, PA 16148 - Phone
- (724) 342-5890
- Fax
- (724) 981-3874
- NPI assigned
- Nov 2, 2013
- 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
- Valeri L Roth, D.O.
- Title
- Physician
- Phone
- (724) 977-1338
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | OS008320L | PA | |
| Otolaryngology Physician | 207Y00000X | |||
| Facial Plastic Surgery Physician | 207YS0123X | Primary |
Addresses
Primary practice location
2213 Shenango Valley Freeway Suite 1a
Hermitage, PA 16148
Mailing address
2213 Shenango Valley Freeway Suite 1a
Hermitage, PA 16148
Phone (724) 342-5890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2213 Shenango Valley Fwy
Unit 1A
Hermitage, PA 16148
Phone (724) 342-5890
3124 Wilmington Rd
Ste 402
New Castle, PA 16105
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Hermitage, PA
- NPI 1457334997
-
- Family Nurse Practitioner
- Hermitage, PA
- NPI 1275300063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645574400000",
"number": "1710316583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 SHENANGO VALLEY FREEWAY SUITE 1A",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "16148",
"telephone_number": "724-342-5890",
"fax_number": "724-981-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 SHENANGO VALLEY FREEWAY SUITE 1A",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "16148",
"telephone_number": "724-342-5890",
"fax_number": "724-981-3874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALERI L ROTH D O P C",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-02",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "VALERI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "724-977-1338",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "PA",
"license": "OS008320L",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.