DR. ANGELA RUTH ROTH


Address: 2315 8th St, Lewiston, ID 83501-7301
Phone: (208) 746-1383

DR. ANGELA RUTH ROTH (NPI# 1851323950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851323950
Entity Type Individual
Full Name DR. ANGELA RUTH ROTH
Other Name ANGELA RUTH BRAKHAGE, RICHMOND
Credential M.D.
Practice Address 2315 8th St
Lewiston
ID 83501-7301
Practice Telephone (208) 746-1383
Practice Fax Number 2087461383
Mailing Telephone 2087461383
Mailing Fax Number 2087461383
Enumeration Date 2006-07-07
Last Update Date 2018-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics M-13774 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 2079474 05
ID 1851323950 05

Other Providers ANGELA ROTH

NPI Name Taxonomy Address Enumeration
1356987267 Angela Roth I Nurse Practitioner 7731 Nw 11th Ct, Pembroke Pines, FL 33024-5203 2019-11-26
1376192922 Angela Sue Roth Counselor 26 Court St, Brooklyn, NY 11242-0103 2019-09-06
1306306345 Angela M Roth Behavior Technician 6210 75th St W, Lakewood, WA 98499-8303 2019-03-25
1508135013 Angela Marie Roth Occupational Therapist 2448 S 102nd St, Suite 340, Milwaukee, WI 53227-2466 2011-12-29
1699966598 Angela Morgan Roth Counselor 9238 Madison Blvd, Building One Suite 1300, Madison, AL 35758-9100 2007-08-06

Office Location

Street Address 2315 8TH ST
City LEWISTON
State ID
Zip Code 83501-7301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415404 Christine C Schaller Family Medicine 2315 8th St, Lewiston, ID 83501-7301 2005-05-31
1821614512 Cory A Gall Pathology 2315 8th St, Lewiston, ID 83501-7301 2020-06-18
1255800462 Rebecca Lyn Horne Nurse Practitioner 2315 8th St, Lewiston, ID 83501-7301 2018-11-16
1871033266 Catalyst Medical Group, Pllc Durable Medical Equipment & Medical Supplies 2315 8th St, Lewiston, ID 83501 2017-03-03
1912458787 Catalyst Medical Group, Pllc Clinic/Center 2315 8th St, Lewiston, ID 83501 2016-10-17
1376918383 Eric Fast Nurse Practitioner 2315 8th St, Lewiston, ID 83501-7301 2015-12-02
1629450218 Zachary S Ripley Family Medicine 2315 8th St, Lewiston, ID 83501-7301 2015-06-19
1023496908 Anita Ringering Nurse Practitioner 2315 8th St, Lewiston, ID 83501-7301 2015-05-12
1356747042 Danielle Barnes Physician Assistant 2315 8th St, Lewiston, ID 83501-7301 2014-11-07
1871900225 Lynley R James Nurse Practitioner 2315 8th St, Lewiston, ID 83501-7301 2014-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013953991 Gretchen A. Pianka Pediatrics 12 High St Ste 301, Lewiston, ME 04240-7690 2006-06-21
1922071521 Shawn P Ferguson Pediatrics 733 Center Street, Lewiston, NY 14092 2006-02-13
1982262325 Logan Andrew Phelps Pediatrics 33 Mollison Way, Lewiston, ME 04240-5805 2019-05-31
1962853697 Joseph Michael Anderson Pediatrics 300 Main St, Lewiston, ME 04240-7027 2016-06-23
1033585344 Astrid Rivera Rodriguez Pediatrics 33 Mollison Way, Lewiston, ME 04240-5805 2015-08-20
1285017046 Virginia Mcmaster Pediatrics 330 Sabattus St Ste B, Lewiston, ME 04240 2015-06-29
1750630307 Jenisha Nandhlal Pediatrics 100 Campus Ave, Lewiston, ME 04240-6040 2012-08-29
1669734000 Sara Carrie Tarolli Pediatrics 300 Main St, Lewiston, ME 04240-7027 2012-06-12
1669762746 Elizabeth D Baker Pediatrics 300 Main St, Lewiston, ME 04240-7027 2011-04-11
1619296837 Margaret T Curtis Pediatrics 300 Main St, Lewiston, ME 04240-7027 2010-05-27
Find all providers in LEWISTON

Competitor

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City LEWISTON
Zip Code 83501

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Dataset Information

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.

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