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JULIE L ROTH MD NPI 1063673713


NPI Information

NPI: 1063673713
Provider Name: JULIE L ROTH, MD
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Individual

Specialization: Clinical Neurophysiology

PECOS Registration: Yes

Address:
2 DUDLEY ST
SUITE 555
PROVIDENCE, RI
ZIP 02905
Phone: (401) 444-3032
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Julie L Roth, MD is a clinical neurophysiology psychiatry neurology in Providence, RI with 20 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). Julie L Roth, MD NPI is 1063673713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year:2004

The provider's business location address is:

2 DUDLEY ST
SUITE 555
PROVIDENCE, RI
ZIP 02905-236
Phone: (401) 444-3032
Fax: (401) 444-3205

The NPI 1063673713 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 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.

  • Interpretation and report of electrical activity of heart using 1-3 leads (HCPCS:93042)
  • Measurement and recording of brain wave (eeg) activity, awake and drowsy (HCPCS:95816)
  • Continuous measurement of brain wave activity with video (veeg), 12-26 hours, with health care professional analysis, interpretation and report (HCPCS:95720)
  • Measurement and recording of brain wave (eeg) activity, awake and asleep (HCPCS:95819)

The enumeration date for this NPI number is 6/24/2008 and was last updated on 1/6/2015.


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
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyLP01397RHODE ISLANDYes

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
11063673713MEDICAIDRHODE ISLAND
201080501MEDICARE PIN

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.