Dr. James T Roth, M.D.
Obstetrics & Gynecology in Ontario, OR. Individual provider (NPI-1).
NPI number1104895705
StatusActive
Last updated in NPPESApr 21, 2020
Details
- NPI
- 1104895705
- Entity type
- Individual (NPI-1)
- Name
- Dr. James T Roth
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2006
- Certification date
- Apr 21, 2020
- Last updated
- Apr 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 263690-1205 | UT | Yes |
Practice location
1219 Sw 4th Ave Unit 2Ontario, OR 97914-4500
Phone 801-261-3975 · Fax 801-262-9142
Mailing address
1441 Ne 10th AvePayette, ID 83661-5420
Phone 208-642-9376 · Fax 208-642-9598
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Obstetrics & Gynecology Physician providers in Ontario · All 767 providers in Ontario
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