| Jeffrey L Roth, MD | |
|
2139 Auburn Ave, Cincinnati, OH 45219-2906 | |
| (513) 672-3309 | |
| (513) 672-3323 |
| Full Name | Jeffrey L Roth |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 2139 Auburn Ave, Cincinnati, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669471629 | NPI | - | NPPES |
| 0864882 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35049686 (Ohio) | Primary |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20031114000492 |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Roth, MD 11490 Springfield Pike, Cincinnati, OH 45246-3524 Ph: (513) 672-3309 | Jeffrey L Roth, MD 2139 Auburn Ave, Cincinnati, OH 45219-2906 Ph: (513) 672-3309 |
Alexander Topala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Mail Location 0796, Cincinnati, OH 45219 Phone: 513-584-1000 | |
Melanie Russell-gillette, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-6356 | |
Eli Cianciolo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4805 Montgomery Rd Ste 210, Cincinnati, OH 45212 Phone: 513-322-7300 Fax: 513-322-7307 | |
Dr. Shawn Jia, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3188 Bellevue Ave, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-558-0995 | |
Angel Joshua Pagan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-6356 | |
Erik Maxwell Vitins Mckee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3188 Bellevue Ave, Cincinnati, OH 45219 Phone: 513-584-1000 | |
Dave Wright, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-585-2422 Fax: 513-585-3245 |