GEORGE C ROTH JR. (NPI# 1043233877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043233877 |
| Entity Type | Individual |
| Full Name | GEORGE C ROTH JR. |
| Credential | M.D. |
| Practice Address |
2831 Fort Missoula Rd Suite 206 Missoula MT 59804-7419 |
| Practice Telephone | 4063274424 |
| Practice Fax Number | 4063274476 |
| Mailing Telephone | 4063274424 |
| Mailing Fax Number | 4063274476 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
3820 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0000019074 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073720124 | George J Roth | Physician Assistant | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2007-05-17 |
| 1346280849 | George Roth | Neurological Surgery | 49 Spring St, 1st Floor, Scarborough, ME 04074-8926 | 2006-06-07 |
| Street Address |
2831 FORT MISSOULA RD SUITE 206 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449530 | Steven David Glow | Nurse Practitioner | 2831 Fort Missoula Rd, Missoula, MT 59804-7419 | 2005-07-03 |
| 1003363581 | Your Migraine Care Missoula LLC | Psychiatry & Neurology | 2831 Fort Missoula Rd, Ste 104, Missoula, MT 59804-7419 | 2016-09-01 |
| 1912359639 | Wahlberg Psychology Office, PC | Community/Behavioral Health | 2831 Fort Missoula Rd, Suite 201, Missoula, MT 59804-7419 | 2016-07-06 |
| 1881009892 | Andrea Dugan Skrocki | Nurse Practitioner | 2831 Fort Missoula Rd, Suite 206, Missoula, MT 59804-7419 | 2014-06-27 |
| 1548507171 | Meng Dentistry, Pllc | Dentist | 2831 Fort Missoula Rd, Suite 204, Missoula, MT 59804-7419 | 2013-01-16 |
| 1982968699 | Nicole A Swartz | Nurse Practitioner | 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 | 2012-06-27 |
| 1205192440 | Fugleberg Enterprises Inc | Audiologist | 2831 Fort Missoula Rd, Suite 300, Missoula, MT 59804-7419 | 2012-04-02 |
| 1194094672 | Meng Dentistry | Clinic/Center | 2831 Fort Missoula Rd, Suite 204, Missoula, MT 59804-7419 | 2011-12-29 |
| 1104155423 | Joseph Charles Meng | Dentist | 2831 Fort Missoula Rd, Physicians Center #2, Missoula, MT 59804-7419 | 2009-12-15 |
| 1942538897 | Duncan L Hubbard, Md, PC | Clinic/Center | 2831 Fort Missoula Rd, 304, Missoula, MT 59804-7419 | 2009-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972811768 | Providence Health & Services Mt | Surgery | 500 W Broadway St, Missoula, MT 59802-4008 | 2010-09-15 |
| 1942414040 | Patrick Joshua O'brien | Surgery | 500 W Broadway St Ste 320, Missoula, MT 59802-4031 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710119664 | Centers for Advanced Vein Care of Montana Pllc | Surgery | 1417 9th St S Ste 201, Great Falls, MT 59405-4509 | 2009-08-11 |
| 1881830610 | Benefis Medical Group | Surgery | 500 15th Avenue South, Great Falls, MT 59405-4304 | 2008-12-29 |
| 1780685636 | Michael B Orcutt | Surgery | 1400 29th St S Ste 201, Great Falls, MT 59405-5316 | 2005-08-02 |
| 1972918639 | Thomas Joseph Desmarais | Surgery | 1233 N 30th St, Billings, MT 59101-0127 | 2014-06-21 |
| 1023253044 | Marcus Daly Memorial Hospital Corporation | Surgery | 1150 Westwood Dr, Suite C, Hamilton, MT 59840-5318 | 2008-12-04 |
| 1053599407 | Robert J Hancock | Surgery | 801 N 29th St, Billings, MT 59101-0905 | 2008-02-07 |
| 1386829216 | William J Harper Md PC | Surgery | 400 Saddle Dr, Helena, MT 59601-5631 | 2008-01-09 |
| 1366627341 | Thomas F Beeson Md PC | Surgery | 2600 Wilson St, Miles City, MT 59301-5094 | 2008-01-08 |
| 1275696742 | Northwest Montana Surgical Associates | Surgery | 1273 Burns Way, Kalispell, MT 59901-3109 | 2006-12-18 |
| 1821108564 | Arne M Olsen | Surgery | 2900 12th Ave N, Suite 400e, Billings, MT 59101-7506 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GEORGE C ROTH JR..
| 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.