Individual
DR. MARK D ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 ROADSIDE AVE, WAYNESBORO, PA 17268-2542
(717) 762-7155
(717) 762-6929
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD060014L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016462400002
—
PA
01
—
02195701
CAPITAL BLUE CROSS
PA
01
—
1007307260034
MEDICAID GROUP #
PA
01
—
120420403
DEPT OF LABOR
PA
01
—
1561881
GATEWAY
PA
01
—
25-1716306
MULTIPLAN/PHCS
PA
01
—
257729
UNISON
PA
01
—
267632
MAMSI OP CHOICE
MD
01
—
367632
MAMSI
PA
01
—
5234477
AETNA HMO
PA
01
—
546216-01
MD BLUE SHIELD
MD
01
—
6720367
AETNA HMO
PA
01
—
810688
AETNA PPO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
908528
HIGHMARK BLUESHIELD
PA
01
—
990003822
MEDICARE RAILROAD RETIRE
PA
01
—
G920-0109/233CCU
CAREFIRST
PA
01
—
MD060014L
LICENSE
PA
01
—
P00700657
RAILROAD MEDICARE
PA
Enumeration date
10/28/2005
Last updated
03/07/2023
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