Mr. Michael Andrew Roth, CAA
Mr. Michael Andrew Roth, CAA is an Anesthesiology Assistant in Blue Springs, Missouri. Qualified in 2017, 9 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 9
- Licensed in
- MO
- In the registry since
- 2017
Practice location Address checks out
201 NW R D Mize RdBlue Springs, MO 64014-2513
Phone: (816) 228-5900
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 — (816) 781-7200
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X · Licence 2017017852 (MO) |
|---|
Record details
| NPI number | 1255860029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CAA |
| Sole proprietor | No |
| NPI enumerated | June 6, 2017 |
| Last updated in NPPES | December 18, 2020 |
| Certification date | December 18, 2020 |
| Mailing address | 3645 Nw Blue Jacket Dr, Lees Summit, MO 64064-3017 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Florida Clinical Practice Association Inc — 1885 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 9 on file with Medicare |