Individual
MATT D ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2865 N REYNOLDS RD STE 260, TOLEDO, OH 43615-2070
(419) 578-4280
(419) 537-5684
Mailing address
660 BEAVER CREEK CIR, SUITE 110, MAUMEE, OH 43537-1745
(419) 891-6210
(419) 893-3232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35088737
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
35-088737
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000571949
ANTHEM
—
01
—
05455
PARAMOUNT
—
05
—
2769839
—
OH
01
—
9202151
AETNA
—
01
—
PENDING
RRMC
—
Enumeration date
05/14/2007
Last updated
11/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us