Dr. Justin Stephan Roth is a Meridian, Idaho based male orthopedic surgeon with 12 years of experience in Pediatric Orthopedic. He completed his graduation from College Of Osteo Med Of The Pacific At Pomona in 2012. He is also affiliated with hospitals like St Charles Medical Center - Bend. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Justin Stephan Roth is O-1847 for Pediatric Orthopedic in Idaho.
Dr. Justin Stephan Roth has done additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Complete Profile:
Dr. Justin Stephan Roth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Pediatric Orthopedic
Credentials:
D.O.
Experience:
12+ years
Medical School Attended:
College Of Osteo Med Of The Pacific At Pomona
Graduation Year:
2012
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3399 E Louise Dr Ste 200, Meridian, Idaho, 83642-5212
Phone:
208-706-2663
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1850660531
Enrollment ID:
I20180808003623
NPI Number:
1306109954
NPI Enumeration Date:
19 Jun, 2012
NPI Last Update On:
28 Jul, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Justin Stephan Roth are as mentioned below.
License Number
Specialization
State
Status
O-1847
Pediatric Orthopedic
Idaho
Primary
187405
Pediatric Orthopedic
Oregon
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
St Charles Medical Center - Bend (380047)
Bend, OR
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Justin Stephan Roth is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Bend Memorial Clinic Pc (7214936533)
195
Neuromusculoskeletal Center Of The Cascades Pc (6204748395)
46
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Justin Stephan Roth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500746847
Medicaid
Oregon
187405
Other
Oregon
OREGON MEDICAL BOARD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
190 E Bannock St, Boise, Idaho
Zip:
83712-6241
Phone Number:
--
Fax Number:
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Patients can reach Dr. Justin Stephan Roth at 3399 E Louise Dr Ste 200, Meridian, Idaho or can call to book an appointment on 208-706-2663. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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No other Pediatric Orthopedic Doctor is available in Meridian, ID.