Dr. Nicole Megan Roth is a Boulder, Colorado based female podiatrist with 13 years of experience in Podiatry. She completed her graduation from Kent State University College Of Podiatric Medicine in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Nicole Megan Roth for Podiatry is POD.0000829 in Colorado. Dr. Nicole Megan Roth is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Nicole Megan Roth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
13+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
2011
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1400 28th St Ste 2, Boulder, Colorado, 80303-1096
Phone:
303-449-2000
Fax:
303-449-9475
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7416178983
Enrollment ID:
I20190129001504
NPI Number:
1770879413
NPI Enumeration Date:
21 Jun, 2011
NPI Last Update On:
14 Jan, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nicole Megan Roth are as mentioned below.
License Number
Specialization
State
Status
POD.0000829
Podiatry
Colorado
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Nicole Megan Roth is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Brian P Gradisek Dpm Pllc (3779829338)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Nicole Megan Roth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PR235
Other
Florida
PODIATRIC RESIDENT
9000168464
Medicaid
Colorado
PO 3661
Other
Florida
PODIATRIC MEDICAL LICENSE
POD.0000829
Other
Colorado
LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 21150, Boulder, Colorado
Zip:
80308-4150
Phone Number:
303-546-9158
Fax Number:
303-546-9107
Patients can reach Dr. Nicole Megan Roth at 1400 28th St Ste 2, Boulder, Colorado or can call to book an appointment on 303-449-2000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Boulder, CO
Thomas E Shonka, DPM Speciality: Podiatrist - Primary Podiatric Medicine Address: 1400 28th St, Suite 2, CO Phone: 303-449-2000 Fax: 303-449-9475
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