RUSSELL B ROTH MD PLLC
NPI 1073773735
Specialist in Muskogee, OK

Active since June 16, 2008
3401 W BROADWAY ST, MUSKOGEE, OK 74401(918) 687-5477(918) 687-5481 Get Directions Write a Review

NPPES record last updated: March 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Russell B Roth Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL B ROTH MD PLLC (NPI 1073773735) is a healthcare organization registered as a specialist in Muskogee, Oklahoma and active in the NPI registry since June 2008. The organization lists Russell B Roth, Owner, as its authorized official.

NPPES Registry Identity

NPI1073773735
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRUSSELL B ROTH MD PLLC
Location Address3401 W BROADWAY STMuskogee, OK 74401-2136
Mailing Address3401 W Broadway StMuskogee, OK 74401-2136 · (918) 687-5477 · Fax (918) 687-5481
Fax(918) 687-5481
Organization SubpartNo
Authorized OfficialRussell B RothOwner · (918) 687-5477
Enumeration DateJune 16, 2008
Last NPPES UpdateMarch 25, 2011
NPI 1073773735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3401 W BROADWAY ST, Muskogee, OK 74401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3401 W BROADWAY ST
MUSKOGEE, OK 74401
Obstetrics & Gynecology
3401 W BROADWAY ST
MUSKOGEE, OK 74401
Specialist
3401 W BROADWAY ST
MUSKOGEE, OK 74401
Obstetrics & Gynecology
3401 W BROADWAY ST
MUSKOGEE, OK 74401
Obstetrics & Gynecology
3401 W BROADWAY ST
MUSKOGEE, OK 74401
Obstetrics & Gynecology
3401 W BROADWAY ST
MUSKOGEE, OK 74401
Preferred Provider Organization
3401 W BROADWAY ST
MUSKOGEE, OK 74401
Specialist
3401 W BROADWAY ST
MUSKOGEE, OK 74401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell B Roth MD PLLC's NPI number?

The NPI number for Russell B Roth MD PLLC is 1073773735. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Russell B Roth MD PLLC located?

Russell B Roth MD PLLC is located at 3401 W Broadway St, Muskogee, OK 74401. The listed phone number is (918) 687-5477.

What is Russell B Roth MD PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Russell B Roth MD PLLC was last updated on March 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.