Mark Samuel Roth

MD | Pediatrics | Male

Mark Samuel Roth, MD is a Royal Oak, Michigan based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Mark Samuel Roth is 3601 W 13 Mile Rd, Fsc, Royal Oak, Michigan - 48073-6712. He can be contacted on phone at 248-423-2454 and fax number 248-423-2576. Mark Samuel Roth is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Samuel Roth is 1609927334 which was assigned by NPPES on 16 Jan, 2007 and it was last updated on 08 Jul, 2007. Mark Samuel Roth license number is 4301029387 for Pediatrics (208000000X) in Michigan.
Mark Samuel Roth is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark Samuel Roth basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Mark Samuel Roth
Credential :MD
Gender :Male
Business Address:
Mark Samuel Roth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :3601 W 13 Mile Rd, Fsc
Royal Oak, MI, 48073-6712
United States
Phone Number :248-423-2454
Fax Number :248-423-2576
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1609927334
NPI Entity Type : Individual
First Enrolment Date : 16 Jan, 2007
Last Updated On : 08 Jul, 2007
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Samuel Roth are as mentioned. Primary taxonomy code for Mark Samuel Roth, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes4301029387MI
Legacy Identifiers:
Other legacy medical identifiers of Mark Samuel Roth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
4815014MEDICAIDMI
350F36132OtherMIBCBSM
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :3601 W 13 Mile Rd, Fsc
Royal Oak, MI, 48073
United States
Phone Number :248-423-2454
Fax Number :248-423-2576
Business Location:
Patients can refer following map for directions to Mark Samuel Roth practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.