Search › Indiana › 207VF0040X
Ted Roth, MD
NPI 1174503866 · on the registry since 2006
Practice
- Address
- 621 Memorial Dr Ste 302
South Bend, IN 46601 - Phone
- (574) 367-3800
- Fax
- (574) 367-3801
- Organisation at this address
- Healthlinc, Inc
David L. Clayton Md Inc
Otorhinolaryngology, Inc
Beacon Medical Group, Inc.
Beacon Medical Group, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 88
Additional practice sites
- 100 Navarre Pl Ste 4470, South Bend, IN
Registry record
- Primary taxonomy
- 207VF0040X
207VF0040X
- Also registered as
- 207V00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-03
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