NPIMap

Individual provider Active NPI

Joseph Henry Roth, M.D.

  • Family Medicine Physician
  • Juneau, AK
National Provider Identifier
1427090307
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3808 Issued in AK
Practice address
1801 Salmon Creek LN
Juneau, AK 99801-7864
Phone
(907) 586-2434
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3808 AK Primary

Addresses

Primary practice location

1801 Salmon Creek LN
Juneau, AK 99801-7864

Mailing address

1801 Salmon Creek LN
Juneau, AK 99801-7864
Phone (907) 586-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050113000410 AK Practitioner - Family Practice 1557310851 Reassigns benefits to 1 organization
I20240415002635 TX Practitioner - Family Practice 1557310851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Salmon Creek LN
Juneau, AK 99801-7861
Phone (907) 463-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3808AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 5, 2024 Accepting new patients
Valley Medical Care PC Family Medicine CurrentSince Jan 21, 2002 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Apr 5, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
Valdez Medical Clinic,LLC Family Medicine Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Gustavus Community Clinic Inc Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

1200 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 463-4031

1801 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 586-2434

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Interoperability endpoints

  • Direct secure messaging: jroth@direct-searhc.org

Organizations & group practices 8

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.

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1427090307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017864",
            "telephone_number": "907-586-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017864",
            "telephone_number": "907-586-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JOSEPH",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.