Heather Renee Roth, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2284 Issued in AZ

Practice address

10261 N 92ND St Ste 101
Scottsdale, AZ 85258-4502

Phone

(480) 443-4437

Fax

(480) 443-4525

NPI assigned

Jun 30, 2006

Last updated

Aug 8, 2025By the provider in NPPES

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 AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: heather.roth.1@14294.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona OB GYN Affiliates PC

  • Specialist
  • Phoenix, AZ
  • NPI 1750589404
  Medicare reassignment Care Compare group
• Arizona Obgynaffiliates SHP,PC

  • Specialist
  • Scottsdale, AZ
  • NPI 1336563857
  NPD (past)
• Arizona Wellness Center for Women, P.C.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1508924762
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1326077660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10261 N 92ND ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584502",
            "telephone_number": "480-443-4437",
            "fax_number": "480-443-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10261 N 92ND ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584502",
            "telephone_number": "480-443-4437",
            "fax_number": "480-443-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Rossman, FNP, RN, CLC
• Kent Jay Rossman, M.D.
• Kelly Lynn Rostan, O.T.R./L
• Dalia Rostenberg, M.A.
• Joseph A Rotella, M.D.
• James Joseph Roth, M.ED., LPC, LISAC,
• Kelsey Nicole Roth, PA
• Michelle Roth, DC
• Nicole A Roth
• Sarah Roth, RN

• Medical Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.