# JOHN D ROTH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699772673
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD047424L | PA | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000742911 | HIGHMARK BCBS | PA |
| 05 | — | 007017627-0002 | — | PA |
| 05 | — | 007017627-0004 | — | PA |
| 05 | — | 007017627-0005 | — | PA |
| 05 | — | 007017627-0006 | — | PA |
| 05 | — | 007017627-0007 | — | PA |
| 05 | — | 007017627-0009 | — | PA |
| 05 | — | 007017627-0010 | — | PA |
| 01 | — | 206707 | UPMC | PA |
| 01 | — | 30707170 | AMERIHEALTH CARITAS | PA |
| 01 | — | 30802890 | AMERIHEALTH CARITAS | PA |
| 01 | — | 30802912 | AMERIHEALTH CARITAS | PA |
| 01 | — | 30802932 | AMERIHEALTH CARITAS | PA |
| 01 | — | 30803027 | AMERIHEALTH CARITAS | PA |
| 01 | — | 7715310 | AETNA / COVENTRY | PA |
| 01 | — | P02157142 | RAILROAD MEDICARE | PA |