SearchIndianaPhysical Medicine & Rehabilitation Physician

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 Wayne
Inferred 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
Physical Medicine & Rehabilitation Physician
208100000X
Also registered as
Physical Medicine & Rehabilitation Physician
Interventional Pain Medicine Physician
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