Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609927334 Individual Practitioner Male Practitioner

Dr. Mark Samuel Roth , MD

Pediatrics • Royal Oak, MI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Roth, MD is a registered healthcare professional specializing in Pediatrics in Royal Oak, MI. Practice services are available at 3601 W 13 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3601 W 13 Mile Rd
Fsc

Royal Oak, MI 480736712

Telephone 2484232454
Fax 2484232576
Associated Practice Facility / Clinic
🏢 William Beaumont Hospital Facility NPI 1689653305

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Royal Oak, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
94 Specialists

Practicing in Royal Oak, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301029387

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4815014 (MI)
Commercial Insurance / Payer ID Bcbsm
350F36132 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Lavoie , RD

Dietitian, Registered

NPI 1043225600

Registered Dietitian

Donna Carrico , NP

Nurse Practitioner - Women's Health

NPI 1063456689

Nurse Practitioner

NPI 1063592657

Doctor of Medicine (M.D.)

Dr. Francis Mitek , MD

Internal Medicine

NPI 1093777013

Doctor of Medicine (M.D.)

Susan Tyson-Blackman , RD

Dietitian, Registered

NPI 1134135601

Registered Dietitian

Patricia Veresh , NP

Nurse Practitioner - Family

NPI 1184896508

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3601 W 13 MILE RD, FSC, ROYAL OAK, MI 480736712 (Tel: 2484232454)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073 (Tel: 2484232454)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK ROTH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #4301029387 in MI)

🟢
Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Roth. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Roth

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609927334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3601 W 13 Mile Rd, Fsc

Royal Oak, MI 48073

Phone: 2484232454

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.