MR. JOHN R ROTH (NPI# 1770767360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770767360 |
| Entity Type | Individual |
| Full Name | MR. JOHN R ROTH |
| Credential | MPAS, PA-C |
| Practice Address |
1219 Sw 4th Ave Unit 1 Ontario OR 97914-4500 |
| Practice Telephone | 5417601203 |
| Mailing Telephone | 5417601203 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447396361 | John B. Roth Jr. | Obstetrics & Gynecology | 107 W Jefferson St, Morris, IL 60450-2128 | 2007-01-29 |
| 1932278793 | John David Roth | Chiropractor | 7064 Beracasa Way, Boca Raton, FL 33433 | 2006-11-07 |
| 1912921321 | John Scott Roth | Surgery | University of Kentucky Department of Surgery, 800 Rose Street, Room C225, Lexington, KY 40536-0001 | 2006-07-27 |
| 1568406627 | John Galloway Roth | Podiatrist | 2 East Rolling Crossroads, Suite 55, Catonsville, MD 21228-6212 | 2006-06-16 |
| 1225039571 | John T. Roth | Audiologist | 904 Pennsylvania Ave, Fort Worth, TX 76104-2225 | 2005-08-09 |
| 1699772673 | John D Roth | Emergency Medicine | 4133 Medical Center Dr, Broad Top, PA 16621-9001 | 2005-07-05 |
| 1184271025 | John D Roth Jr. | Speech-Language Pathologist | 101 South St, West Hartford, CT 06110-1967 | 2019-08-26 |
| 1619390192 | John Roth | Registered Nurse | 4747 290th St, Toledo, OH 43611-1961 | 2014-02-04 |
| 1447520945 | John Roth | Pharmacist | 1903 State Road 60 E, Lake Wales, FL 33853-4329 | 2011-12-31 |
| 1427224732 | John Roth | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2008-05-06 |
| Street Address |
1219 SW 4TH AVE UNIT 1 |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295206589 | Paola Andrea D'aleman Poveda | Pediatrics | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2018-12-11 |
| 1538647029 | Brittany Coombs Chronister | Nurse Practitioner | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2018-08-06 |
| 1316424666 | Leslie Marie Filler | Nurse Practitioner | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2018-07-19 |
| 1609269190 | Amanda Barsness | Physician Assistant | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2015-03-09 |
| 1194116574 | Jim N Hibbard | Counselor | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2015-02-06 |
| 1841691003 | Aaron Dykstra | Nurse Practitioner | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2014-09-08 |
| 1881015774 | Rachel Cynthia Robb | Counselor | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2013-12-19 |
| 1447480215 | Lacey Jill Mackenzie | Counselor | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508302 | Hallary Morales | Student in an Organized Health Care Education/Training Program | 1005 N Center Ave Apt 6108, Ontario, CA 91764-5515 | 2020-08-10 |
| 1285269068 | Amylee Michelle Martin | Student in an Organized Health Care Education/Training Program | 2829 E Clydesdale St, Ontario, CA 91761-5094 | 2020-03-11 |
| 1932764552 | Sarah R Georgianna | Student in an Organized Health Care Education/Training Program | 808 Boston Rd, Ontario, NY 14519-9372 | 2019-05-08 |
| 1720583156 | Sudha Lagudu | Student in an Organized Health Care Education/Training Program | 3350 Concours Apt 22i, Ontario, CA 91764-4888 | 2018-03-27 |
| 1174069504 | Baileigh Alyse Mesman | Student in an Organized Health Care Education/Training Program | 880 E Cottonwood St, Ontario, CA 91761-6861 | 2017-01-09 |
| 1124476270 | Waseem Khader | Student in an Organized Health Care Education/Training Program | 1056 E Philadelphia St Unit 112, Ontario, CA 91761-4843 | 2016-05-31 |
| 1124405956 | Ronald Ortizo | Student in an Organized Health Care Education/Training Program | 3034 E Black Horse Dr, Ontario, CA 91761-9176 | 2015-04-30 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1427329531 | Georgina Zamarron | Student in an Organized Health Care Education/Training Program | 1556 S. Sultana Ave, Ontario, CA 91761-4238 | 2012-01-20 |
| 1366057192 | Tiffany Venegas | Student in an Organized Health Care Education/Training Program | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2020-09-09 |
| Find all providers in ONTARIO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.