Roth, Ted M.
Roth, Ted M. is an individual health care provider with primary practice located at 621 Memorial Dr Ste 302 , South Bend IN 46601-1073. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Roth, Ted M. can be contacted via phone (574) 367-3800.Contact Information
Primary practice address
621 Memorial Dr Ste 302
South Bend IN 46601-1073
Phone: (574) 367-3800
Fax: (574) 367-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01081226A | Indiana |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 01081226A | Indiana |
Profile Details
| NPI number | 1174503866 |
|---|---|
| LBN Legal business name | Roth, Ted M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jun 25th, 2024 - about 2 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 | 1174503866 | NPPES |
| Indiana | MEDICAID | 300020434 |
Popular Providers
-
Abbott, Philip Don
3700 Rufe Snow Dr , North Richland Hills TX 76180-8848 -
Karram, Michael
4631 Ridge Ave Ste A , Cincinnati OH 45209-1028 -
Ledley, Annmarie Mcrena
4500 Wesley St , Greenville TX 75401-5644 -
Miller-Miles, Kimberly R
7900 Fannin St Ste 4400 Women'S Pelvic Restorative Center, Pllc, Houston TX 77054-2949 -
Gonzalez, John Anthony
527 Odd Fellows Rd Ste B , Crowley LA 70526-2208 -
Lotze, Peter M
7900 Fannin St Ste 4000 Women'S Pelvic Restorative Center Pllc, Houston TX 77054-2935 -
Fiegen, Michael M
1500 W 22Nd St Ste 402, Sioux Falls SD 57105-7702 -
Lyons, Carlton L.
621 Memorial Dr Ste 302 , South Bend IN 46601-1073