| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANDREW THOMAS ROTH | 1689037194 | 2016-04-01 |
Andrew Thomas Roth is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689037194. Registration indicates Andrew Thomas Roth is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) Access to Pulmonologists (Allopathic & Osteopathic Physicians, Internal Medicine) (Pulmonary Disease (Internal Medicine),, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Pulmonary Disease, ) (Specialist Network, ) (Internal Medicine Pulmonary Disease, Allopathic & Osteopathic Physicians) (Internal Medicine, )
| Entity Type | Individual |
| Provider Name | Dr. Andrew Thomas Roth MD |
| Practice Office Address | 1 BARNES JEWISH HOSPITAL PLZ DIV IM PULMONARY AND CRITICAL CARE MEDICINE SAINT LOUIS, MO US |
| Practice Office Telephone | 3144548917 |
| Practice Office Fax | 3144547524 |
| Mailing Address | PO BOX 60352 SAINT LOUIS, MO 631600352 US |
| Business Telephone | 3144548917 |
| Business Fax | 3144547524 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4523 Clayton Ave CB 8052 | Saint Louis, MO 63110 | 3144548763 |
| FHIR URL [] | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 2019019689
MO |
| 207RP1001X PRIMARY | Access to Pulmonologists Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease (Internal Medicine), Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Pulmonary Disease Specialist Network Internal Medicine Pulmonary Disease Allopathic & Osteopathic Physicians Internal Medicine | 2019019689
MO |
| 200126439 | MEDICAID | MO |