Roth, James M
Roth, James M is an sole proprietor health care provider with primary practice located at 125 Crestview Park Dr Ste 2 , Dickson TN 37055-2853. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Roth, James M can be contacted via phone (615) 740-5233.Contact Information
Primary practice address
125 Crestview Park Dr Ste 2
Dickson TN 37055-2853
Phone: (615) 740-5233
Fax: (615) 740-5226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 38445 | Tennessee |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 38445 | Tennessee |
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 38445 | Tennessee |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 38445 | Tennessee |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 38445 | Tennessee |
Profile Details
| NPI number | 1144227778 |
|---|---|
| LBN Legal business name | Roth, James M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Apr 9th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144227778 | NPPES |
| Tennessee | Other | 4089622 | BLUE CROSS AND BLUE SHIEL |
| Tennessee | Other | 7714168 | BLUE CROSS AND BLUE SHIEL |
| Tennessee | Other | 0007459536 | BLUE CROSS AND BLUE SHIEL |
| Tennessee | MEDICAID | 3896879 | BLUE CROSS AND BLUE SHIEL |
| Tennessee | Other | P00160344 | BLUE CROSS AND BLUE SHIEL |
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