Yolanda Faith Roth, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D31212 Issued in MD

Practice address

7723 Ivymount Ter
Potomac, MD 20854-3216

Phone

(301) 983-8065

NPI assigned

May 22, 2007

Reactivated

Oct 18, 2012

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Yolanda Roth Moyer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Hospital and Medical Center of Cumberland, Inc.

  dba Memorial Hosp Med Ctr Hosp

  • General Acute Care Hospital
  • Cumberland, MD
  • NPI 1669437216
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1730398173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7723 IVYMOUNT TER",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543216",
            "telephone_number": "301-983-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7723 IVYMOUNT TER",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543216",
            "telephone_number": "301-983-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "YOLANDA",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-10-18",
        "deactivation_date": "2007-07-18",
        "reactivation_date": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D31212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "MOYER",
            "middle_name": "ROTH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robyn Rosenbauer
• Hillary Rosenberg
• Steven A. Rosenberg, M.D.
• Michael Robert Rosnick, M.D.
• Holly Roth, DPT
• Benjamin I Rubin, MD
• Trisha Souders Rubin, L.C.S.W.
• Natalya Sacks, LCPC
• Nicole Sadorra
• Bita Safai

• Specialist in Potomac, MD
• Providers in Potomac, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.