| Dr James T Roth, MD | |
|
1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | |
| (801) 261-3975 | |
| (801) 262-9142 |
| Full Name | Dr James T Roth |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1219 Sw 4th Ave Unit 2, Ontario, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104895705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 263690-1205 (Utah) | Primary |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
| Entity Name | Valley Family Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295415032 PECOS PAC ID: 0547169591 Enrollment ID: O20040305000532 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James T Roth, MD 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 | Dr James T Roth, MD 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 Ph: (801) 261-3975 |
Dr. Kenneth Leif Nathaniel Sjoren, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 840 Sw 4th Ave Ste 105, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 | |
Robert A Mairs, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914 Phone: 541-881-2325 Fax: 208-914-6701 | |
Furm M Duncan Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Suite 2, Ontario, OR 97914 Phone: 541-889-2229 Fax: 541-889-4378 | |
Brandye Wilson-manigat, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7184 Fax: 541-881-7016 | |
William Barrett Stinger, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 840 Sw 4th Ave, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 |