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Ted M. Roth, MD
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in South Bend, Indiana
NPI 1174503866

Ted M. Roth is a Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician based in Granger, IN and is specialized in Female Pelvic Medicine and Reconstructive Surgery. Ted M. Roth practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Ted M. Roth is 1174503866 and holds a License No. 01081226A (Indiana).

The current practice location address for Ted M. Roth is 621 Memorial Dr Ste 302, South Bend, IN and can be reached out via phone at 574-367-3800 and via fax at 574-367-3801.

Location: 621 Memorial Dr Ste 302, South Bend, IN, 46530-1380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174503866
Provider Name
Ted M. Roth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
621 Memorial Dr Ste 302, South Bend, IN, 46530-1380
Phone Number
574-367-3800
Fax Number
574-367-3801
Provider Enumeration Date
01/19/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300020434 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 302
City
South Bend
State
Indiana
Zip
46601-1073
Phone Number
574-367-3800
Fax Number
574-367-3801
person
Provider Business Mailing Address Details
Address
621 Memorial Dr Ste 302
City
South Bend
State
Indiana
Zip
46601-1073
Phone Number
574-367-3800
Fax Number
574-367-3801
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
01081226A (Indiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
207VF0040X
License No.
01081226A (Indiana)
Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
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