Nicholas Connor Roth

Surgery Physician · Springfield, IL

Individual Active NPI

NPI number 1437908134

Practice location

701 N 1st St
Springfield, IL 62702-3757
Phone
(217) 545-4401

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NPI record

NPI
1437908134
Entity type
Individual (Type 1)
Enumeration date
May 15, 2024
Last updated
May 15, 2024
Certified
May 15, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 125083173 IL

About Nicholas Roth

Nicholas Connor Roth is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 701 N 1st St, Springfield, IL 62702-3757. The NPI number 1437908134 was assigned on May 15, 2024 and the record was last updated on May 15, 2024.

Nicholas Roth lists a license in the registry: #125083173 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas Connor Roth?

The NPI number is 1437908134.

What is the phone number of Nicholas Roth?

The phone number listed for the practice location is (217) 545-4401.

Where is Nicholas Roth located?

701 N 1st St, Springfield, IL 62702-3757.

What is the taxonomy code for Nicholas Roth?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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