RANDY A ROTH CRNA
NPI 1104979616
Nurse Anesthetist, Certified Registered in Coldwater, MI

Active since January 19, 2007
274 E CHICAGO ST, COLDWATER, MI 49036(517) 279-5400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randy A Roth Crna NPPES

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

RANDY A ROTH CRNA (NPI 1104979616) is an individual nurse anesthetist, certified registered in Coldwater, Michigan, licensed in Michigan (4704153363) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104979616
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRANDY A ROTHCredential: CRNA
Location Address274 E CHICAGO STColdwater, MI 49036-2041
Mailing Address559 Wedge CtColdwater, MI 49036-8859 · (517) 238-2701
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104979616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MI · 4704153363
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
274 E CHICAGO ST, Coldwater, MI 49036

Other Identifiers 1

Medicaid4580900MI

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
274 E CHICAGO ST
COLDWATER, MI 49036
Clinic/Center
274 E CHICAGO ST
COLDWATER, MI 49036
Emergency Medicine
274 E CHICAGO ST
COLDWATER, MI 49036
Social Worker (Clinical)
274 E CHICAGO ST
COLDWATER, MI 49036
General Acute Care Hospital
274 E CHICAGO ST
COLDWATER, MI 49036
Anesthesiology
274 E CHICAGO ST
COLDWATER, MI 49036
General Practice
274 E CHICAGO ST
COLDWATER, MI 49036
Psychologist (Clinical)
274 E CHICAGO ST
COLDWATER, MI 49036

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 Randy Roth's NPI number?

The NPI number for Randy Roth is 1104979616. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Randy Roth located?

Randy Roth practices at 274 E Chicago St, Coldwater, MI 49036. The listed phone number is (517) 279-5400.

What is Randy Roth's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Randy Roth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.