| Dr Justin Stephan Roth, DO | |
|
3399 E Louise Dr Ste 200, Meridian, ID 83642-5212 | |
| (208) 706-2663 | |
| Not Available |
| Full Name | Dr Justin Stephan Roth |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
| Location | 3399 E Louise Dr Ste 200, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306109954 | NPI | - | NPPES |
| 500746847 | Medicaid | OR | |
| 187405 | Other | OR | OREGON MEDICAL BOARD |
| Entity Name | Neuromusculoskeletal Center Of The Cascades Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497706766 PECOS PAC ID: 6204748395 Enrollment ID: O20031105000781 |
| Entity Name | Bend Memorial Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022 |
| Entity Name | Shriners Hospitals For Children |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134561020 PECOS PAC ID: 9133031933 Enrollment ID: O20130924000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Stephan Roth, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Justin Stephan Roth, DO 3399 E Louise Dr Ste 200, Meridian, ID 83642-5212 Ph: (208) 706-2663 |
Jesse Dylan Chlebeck, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way, Meridian, ID 83642 Phone: 208-463-3000 | |
William Daniel Bradley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2960 E. St. Lukes St., Ste. 200, Meridian, ID 83642 Phone: 208-992-5212 Fax: 208-992-5452 | |
Dr. Jonathon Curtis Wolf, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 200b, Meridian, ID 83642 Phone: 208-563-0001 Fax: 208-563-0777 | |
Louis Horst Poppler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-364-3000 | |
Mikayla Lynn Taugher, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2365 E Gala St Ste 1, Meridian, ID 83642 Phone: 208-515-2654 | |
Dr. Paul Calvin Collins, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3875 E Overland Rd, Meridian, ID 83642 Phone: 208-287-0203 Fax: 208-288-5490 |