Active NPI
James T Roth, M.D.
- Obstetrics & Gynecology Physician
- Ontario, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 263690-1205
- Practice address
- 1219 SW 4TH Ave Unit 2
Ontario, OR 97914-4500 - Phone
- (801) 261-3975
- Fax
- (801) 262-9142
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 263690-1205 | UT | Primary |
Addresses
Primary practice location
1219 SW 4TH Ave Unit 2
Ontario, OR 97914-4500
Mailing address
1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263690-1205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Family Health Care, Inc | Current | Accepting new patients | |
| Valley Family Health Care Inc | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Valley Family Health Care, Inc | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Jordan Family Health, LLC | Past | Accepting new patients | |
| Mountainstar Medical Group-St. Marks Hospital, LLC | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738
896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038
1219 SW 4th Ave
Unit 2
Ontario, OR 97914
Phone (208) 302-2200
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
789 Washington St W
Vale, OR 97918
Phone (503) 473-2101
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
- Family Medicine Physician
- Medford, OR
- NPI 1568547503
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
- Federally Qualified Health Center (FQHC)
- Ontario, OR
- NPI 1295415032
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Clinical Pathology Physician
- Medford, OR
- NPI 1285185942
-
- Clinic/Center
- Phoenix, OR
- NPI 1992882500
-
- Hospitalist Physician
- Medford, OR
- NPI 1093894511
-
- Rural Health Clinic/Center
- Warrenton, OR
- NPI 1972039170
-
- Federally Qualified Health Center (FQHC)
- Payette, ID
- NPI 1407886484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1104895705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 NE 10TH AVE",
"city": "PAYETTE",
"state": "ID",
"postal_code": "836615420",
"telephone_number": "208-642-9376",
"fax_number": "208-642-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 SW 4TH AVE UNIT 2",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979144500",
"telephone_number": "801-261-3975",
"fax_number": "801-262-9142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "263690-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.