Search › Indiana › 208100000X
Daniel Roth, DO, MBA, MS
NPI 1861687923 · on the registry since 2007
Practice
- Address
- 1721 Magnavox Way
Fort Wayne, IN 46804 - Phone
- (260) 748-3650
- Fax
- (260) 748-3651
- Organisation at this address
- Ks Tko Anesthesia
Coffman Anesthesiology Llc
Racc Medical Associates Llc
Surgery Center Of Fort WayneInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 6811 Lima Rd, Fort Wayne, IN
- 2124 N Biomet Dr, Warsaw, IN
- 1314 E 7th St Ste 201, Auburn, IN
- 2512 E Dupont Rd Ste 200, Fort Wayne, IN
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 208100000X
208VP0014X - Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana