Active NPIIndividual provider

Dr. Leslie A Roth, MD

Colon & Rectal Surgery in Providence, Rhode Island

NPI Number1386764785
Practice location
208 Collyer St, Suite 302, Providence, RI 02904-1560
Fax
401-868-2306
Last updated
January 29, 2020

Leslie Aileen Roth is a Colon & Rectal Surgery based in Providence, RI. Leslie Aileen Roth practices in Providence, RI and has the professional credentials of MD. The NPI Number for Leslie Aileen Roth is 1386764785 and holds a License No. MD429123 (PA). The current practice location address for Leslie Aileen Roth is 208 Collyer St, Suite 302, Providence, RI 02904-1560 and can be reached out via phone at 401-553-8312 and via fax at 401-868-2306.

Provider Profile Details

NPI Number
1386764785
Provider Name
Leslie Aileen Roth
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
208 Collyer St, Suite 302, Providence, RI 02904-1560
Phone Number
401-553-8312
Fax Number
401-868-2306
Primary Taxonomy
Colon & Rectal Surgery · 208C00000X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2007
Last Update Date
January 29, 2020
Certification Date
January 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
208 Collyer St
Suite 302
Providence, RI 02904-1560
Zip
02904-1560
Phone Number
401-553-8312
Fax Number
401-868-2306
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
Po Box 16149
Rumford, RI 02916-0697
City
Rumford
State
RI
Zip
02916-0697
Phone Number
401-453-9625
Fax Number
401-435-7069

License Information

License Number (1)
MD429123
License State (1)
PA
Taxonomy (1)
Surgery · 208600000X
License Number (2)
MD12703
License State (2)
RI
Taxonomy (2)
Colon & Rectal Surgery · 208C00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Leslie A Roth, MD?

The NPI number of Dr. Leslie A Roth, MD is 1386764785. It was assigned on March 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Leslie A Roth, MD?

Dr. Leslie A Roth, MD is registered under the primary taxonomy Colon & Rectal Surgery (code 208C00000X), licensed in PA under license number MD429123.

Where does Dr. Leslie A Roth, MD practice?

The practice location is 208 Collyer St, Suite 302, Providence, RI 02904-1560. The office can be reached at 401-553-8312 (phone) or 401-868-2306 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386764785 directly on the NPPES registry website.

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