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TERRY R ROTH MD PC
NPI 1265601579
Clinic/Center in Rockford, IL

Active since February 21, 2008
4920 E STATE ST, ROCKFORD, IL 61108(815) 226-1906(815) 226-8474 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Terry R Roth Md Pc NPPES

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

TERRY R ROTH MD PC (NPI 1265601579) is a healthcare organization registered as a clinic/center in Rockford, Illinois and active in the NPI registry since February 2008. The organization lists Terry R Roth, Owner, as its authorized official.

NPPES Registry Identity

NPI1265601579
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTERRY R ROTH MD PC
Location Address4920 E STATE STRockford, IL 61108-2272
Mailing Address4920 E State StRockford, IL 61108-2272 · (815) 226-1906 · Fax (815) 226-8474
Phone(815) 226-1906
Fax(815) 226-8474
Organization SubpartNo
Authorized OfficialTerry R RothOwner · (815) 226-1906
Enumeration DateFebruary 21, 2008
Last NPPES UpdateJune 25, 2015
✔ NPI 1265601579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4920 E STATE ST, Rockford, IL 61108
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Other Identifiers 3

Other629800IL · Ptan
Other10132303IL · Bcbs
Medicare UPIND14087IL

Other Providers at the Same Location NPPES 13

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

SEAN MICHAEL WEST
Social Worker
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 227-0086
UMA SRIVASTAVA MD
Psychiatry & Neurology (Psychiatry)
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-1906
CASSANDRA A BARNETT LSW
Social Worker
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 227-9002
CYDNEY LUHMAN
Social Worker
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (608) 301-7130
BRITTNEY HENSLEY
Social Worker
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (608) 301-7131
TAMARA ALICE VODNANSKY LCSW
Social Worker (Clinical)
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 227-9002
TENDER LOVING CARE SERVICES MIDWEST, LLC
Home Health
4920 E STATE ST, SUITE 2
ROCKFORD, IL 61108
Winnebago County (815) 229-2605
RYAN KOHL OTR/L
Occupational Therapist
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (310) 715-2020

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 Terry R Roth MD PC's NPI number?

The NPI number for Terry R Roth MD PC is 1265601579. It was assigned to this organization in the NPPES registry on February 21, 2008.

Where is Terry R Roth MD PC located?

Terry R Roth MD PC is located at 4920 E State St, Rockford, IL 61108. The listed phone number is (815) 226-1906.

What is Terry R Roth MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Terry R Roth MD PC was last updated on June 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.