William T. Roth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00035230 Issued in WA

Practice address

220 E Rowan Ave Ste 200
Spokane, WA 99207-1203

Phone

(509) 483-4403

Fax

(509) 489-7556

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Roth Medical Clinic, LLC

  • Clinic/Center
  • Spokane, WA
  • NPI 1861783847
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1124199989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E SANSON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071348",
            "telephone_number": "509-688-6702",
            "fax_number": "509-688-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071203",
            "telephone_number": "509-483-4403",
            "fax_number": "509-489-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "WILLIAM",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00035230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PIN",
            "identifier": "8802665",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Roth, LMHC, MHP, NCC
• Daniel Robert Roth, D.M.D.
• Jason Eric Roth, MD
• Laurie Joanne Roth
• Matthew D Roth
• Windy Lynn Rothmund
• Donald Rothrock
• Lucinda Jean Rotter, M.S., LMHC
• Tyler Roubidoux
• James A Roubos, PHD

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.