Stephen L Roth, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME 37888 Issued in FL

Practice address

3702 Washington St
Suite 303
Hollywood, FL 33021-8282

Phone

(954) 967-6550

Fax

(954) 967-6553

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Healthstone Medical Group, LLC

  • Internal Medicine Physician
  • Miramar, FL
  • NPI 1821347519
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1982645040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N COMMERCE PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253957",
            "telephone_number": "954-967-6550",
            "fax_number": "954-893-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 WASHINGTON ST",
            "address_2": "SUITE 303",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218282",
            "telephone_number": "954-967-6550",
            "fax_number": "954-967-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 37888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065751400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Yonina Ross, FNP
• Dallis Rossi
• Jennifer Paz Rossi, CPNP-PC
• Raquel Beatriz Rossman
• Jacob Roth, DPM
• Rothfield Dental Associates
• Elizabeth A Rothfield, DMD
• Jeffrey Rothstein, D.O.
• Jessica Rotterman
• Ivy Catherine Rouder, PSYD

• Cardiovascular Disease Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Cardiovascular Disease Physician in Florida

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