Katherine a Roth MD PLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301046406 Issued in MI

Legal business name

KATHERINE A ROTH MD PLC

Practice address

820 W Front St
Traverse City, MI 49684-2466

Phone

(231) 935-0848

Fax

(231) 935-0846

NPI assigned

Sep 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Katherine A Roth, MDNPI 1528032950

Title

Owner

Phone

(231) 935-0848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine A Roth, MD

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1528032950
  NPD (past) Authorized official

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1760676795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842466",
            "telephone_number": "231-935-0848",
            "fax_number": "231-935-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842466",
            "telephone_number": "231-935-0848",
            "fax_number": "231-935-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE A ROTH MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-03",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-0848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301046406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Edward Kaschel Jr., M.A., D.PHIL.
• Annelle Kaspor, RN,MPH,FNP-C
• Charles Philip Kass, DDS MS
• Maya Lynn Kassab
• Katharine Westie PHD PLLC
• Kathryn Penfold M., SC, LLC
• Isaac Kaufman, M.D.
• Kerry M Kaysserian, DDS
• Kendra Kearney, MSW
• Amy N Keck, LMSW

• Primary Care Clinic/Center in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.