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DR. MARK D ROTH MD NPI 1144210279


NPI Information

NPI: 1144210279
Provider Name: DR. MARK D ROTH, MD
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
45 ROADSIDE AVE
WAYNESBORO, PA
ZIP 17268
Phone: (717) 762-7155
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DR. Mark D Roth, MD is a surgery in Waynesboro, PA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Mark D Roth, MD NPI is 1144210279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

45 ROADSIDE AVE
WAYNESBORO, PA
ZIP 17268-542
Phone: (717) 762-7155
Fax: (717) 762-6929

The NPI 1144210279 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 enumeration date for this NPI number is 10/28/2005 and was last updated on 3/7/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryMD060014LPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
125-1716306OTHERPENNSYLVANIAMULTIPLAN/PHCS
2546216-01OTHERMARYLANDMD BLUE SHIELD
3367632OTHERPENNSYLVANIAMAMSI
46720367OTHERPENNSYLVANIAAETNA HMO
5867633OTHERPENNSYLVANIAMEDICARE GROUP #
6P00700657OTHERPENNSYLVANIARAILROAD MEDICARE
702195701OTHERPENNSYLVANIACAPITAL BLUE CROSS
825-1716306OTHERPENNSYLVANIAINFORMED
925-1716306OTHERPENNSYLVANIADEVON
1025-1716306OTHERPENNSYLVANIAHEALTHNET/TRICARE
11990003822OTHERPENNSYLVANIAMEDICARE RAILROAD RETIRE
121007307260034OTHERPENNSYLVANIAMEDICAID GROUP #
1325-1716306OTHERPENNSYLVANIAGREATWEST HEALTHCARE
145234477OTHERPENNSYLVANIAAETNA HMO
1525-1716306OTHERPENNSYLVANIASOUTH CENTRAL PREFERRED
16257729OTHERPENNSYLVANIAUNISON
17908528OTHERPENNSYLVANIAHIGHMARK BLUESHIELD
18G920-0109/233CCUOTHERPENNSYLVANIACAREFIRST
19MD060014LOTHERPENNSYLVANIALICENSE
200016462400002MEDICAIDPENNSYLVANIA
211561881OTHERPENNSYLVANIAGATEWAY
22120420403OTHERPENNSYLVANIADEPT OF LABOR
2325-1716306OTHERPENNSYLVANIAFIRST HEALTH
24267632OTHERMARYLANDMAMSI OP CHOICE
2525-1716306OTHERPENNSYLVANIAHEALTH AMERICA
2625-1716306OTHERPENNSYLVANIAINTERGROUP
275234477OTHERPENNSYLVANIAAETNA NON-HMO
28810688OTHERPENNSYLVANIAAETNA PPO

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: 5/5/2024

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.