Debra Roth, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA130024 Issued in OR

Practice address

74B Centennial Loop Ste 300
Eugene, OR 97401-7925

Phone

(541) 686-3791

Fax

(541) 686-3795

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: droth062@yourcarecommunity.org

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.

• Neurospine Group

  dba The Neurospine Group

  • Neurological Surgery Physician
  • Eugene, OR
  • NPI 1023594801
  Medicare reassignment

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1184634594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017925",
            "telephone_number": "541-686-3791",
            "fax_number": "541-686-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017925",
            "telephone_number": "541-686-3791",
            "fax_number": "541-686-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "DEBRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA130024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Mathey Rossberg, LMT
• Aubrey Lurlyne Rossi, MS
• Kellyn Rost, LMT
• Jenna Rotach
• Amelia Bogart Roth, M.D.
• John R Roth, MPAS, PA-C
• Roberta Roth, LCSW
• Zachary Austin Roth, PA
• Matthew Rothermund
• Hsiao-Ching Daisy Rothgery X, RN,MS

• Surgical Physician Assistant in Eugene, OR
• Providers in Eugene, OR by specialty
• Surgical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.

Verify at the official NPI Registry.