DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY J ROTH, D.O.

Deactivated

DR. TIMOTHY J ROTH, D.O. is a Family Medicine healthcare provider located in CLOVIS, California. NPI 1144213604 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · CLOVIS, CA

This NPI has been deactivated. The record was deactivated on March 23, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1144213604
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2005 (0.56164383561644 yrs)
Last Updated
Jul 29, 2010
Deactivated
Mar 23, 2006
License
20A5200 (CA)

Practice Information

Address
255 W BULLARD AVE
CLOVIS, CA, 936120861
Browse CA providers · Browse ZIP 93612
Phone
5592992128
Fax
5592993494
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CLOVIS, CA

Name Credential NPI
KEVIN WINGERT M.D. 1083608301
JAMES LEE MINTON MD 1588659049
MR. DANIEL BORGSTADT M.D. 1457332330
MR. DENNIS NAKATA M.D. 1962483834
DR. JEFFREY AOKI M.D. 1760463624
MR. JERRY REIMER M.D. 1700867678
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.