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Individual

DR. JOHN SCOTT ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UNIVERSITY OF KENTUCKY DEPARTMENT OF SURGERY, 800 ROSE STREET, ROOM C225, LEXINGTON, KY 40536-0001
(859) 323-6346
(859) 323-6840
Mailing address
UNIVERSITY OF KENTUCKY DEPARTMENT OF SURGERY, 800 ROSE STREET, ROOM C225, LEXINGTON, KY 40536-0001
(859) 323-6346
(859) 323-6840

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30581
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0090
CAREFIRST
MD
05
1000036068
DE
01
1702116
UNITED HLTHCARE
MD
01
1801005
UNITED HLTHCARE NATIONAL
MD
01
2119996
MDIPA
MD
01
240845
KAISER
MD
01
30581
LICENSE
KY
05
403980700
MD
01
62757501
BLUE SHIELD
MD
01
84616
GEISINGER
MD
Enumeration date
07/27/2006
Last updated
05/16/2014
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