GARY F ROTH MD
NPI 1992732648
Emergency Medicine in Bloomington, IL

Active since June 27, 2006
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701(309) 661-5111 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary F Roth Md NPPES

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

GARY F ROTH MD (NPI 1992732648) is an individual emergency medicine provider in Bloomington, Illinois, licensed in Illinois (036052934) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1992732648
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGARY F ROTHCredential: MD
Location Address2200 E WASHINGTON STBloomington, IL 61701-4364
Mailing Address2538 Momentum PlChicago, IL 60689-0001
Sole ProprietorYes
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 18, 2009
NPI 1992732648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 036052934
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2200 E WASHINGTON ST, Bloomington, IL 61701

Other Identifiers 4

Medicaid036052934IL
Medicare PIN206813007IL
Medicare UPIND15755IL
Medicare PINK46465IL

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.

Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Nurse Anesthetist, Certified Registered
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Emergency Medicine (Emergency Medical Services)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Pharmacist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Technician, Other
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Pharmacy Technician
2200 E WASHINGTON ST, ST.JOSEPH MEDICAL CENTER
BLOOMINGTON, IL 61701
Radiology (Vascular & Interventional Radiology)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701

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 Gary Roth's NPI number?

The NPI number for Gary Roth is 1992732648. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Gary Roth located?

Gary Roth practices at 2200 E Washington St, Bloomington, IL 61701. The listed phone number is (309) 661-5111.

What is Gary Roth's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Gary Roth was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.