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DR. HAROLD FRANKLIN ROTH D.O. NPI 1023005659


NPI Information

NPI: 1023005659
Provider Name: DR. HAROLD FRANKLIN ROTH, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 23D0376187

Address:
1627 LAKE LANSING RD
SUITE 200
LANSING, MI
ZIP 48912
Phone: (517) 485-1789
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DR. Harold Franklin Roth, D.O. is a general practice in Lansing, MI with 45 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Harold Franklin Roth, D.O. NPI is 1023005659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1979

The provider's business location address is:

1627 LAKE LANSING RD
SUITE 200
LANSING, MI
ZIP 48912-788
Phone: (517) 485-1789
Fax: (517) 485-2357

The NPI 1023005659 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 23D0376187 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 9/29/2005 and was last updated on 1/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice5101007838MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10153310524OTHERMICHIGANBCBSM
2112117791MEDICAIDMICHIGAN
338-2402492OTHERFEDERAL EMPLOYER ID NUMBE
4200000005857OTHERMICHIGANPHP OF MID-MICHIGAN
5201488OTHERMICHIGANMCLAREN HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.