| Steven Austin Roth, MD | |
|
228 Memorial Dr, Jesup, GA 31545-0102 | |
| (912) 559-2432 | |
| Not Available |
| Full Name | Steven Austin Roth |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 228 Memorial Dr, Jesup, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942386727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD445838 (Pennsylvania) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 87110 (Georgia) | Primary |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Wayne Sjc Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538421177 PECOS PAC ID: 5496901811 Enrollment ID: O20120817000029 |
| Entity Name | Piedmont Specialty Hospital Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Austin Roth, MD 228 Memorial Dr, Jesup, GA 31545-0102 Ph: () - | Steven Austin Roth, MD 228 Memorial Dr, Jesup, GA 31545-0102 Ph: (912) 559-2432 |
Dr. Ogochukwu C Okpala, MD, MPH, MBA Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 228 Memorial Dr, Jesup, GA 31545 Phone: 912-559-2432 | |
Dr. Jeffrey Lee Harris, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 371 Peachtree St, Jesup, GA 31545 Phone: 912-530-7301 Fax: 912-530-7302 | |
Dr. Sandra L Mager, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 114 W Cherry St, Jesup, GA 31545 Phone: 912-588-1020 Fax: 912-588-1002 |