DR. JUSTIN STEPHAN ROTH (NPI# 1306109954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306109954 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN STEPHAN ROTH |
| Credential | D.O. |
| Practice Address |
4625 Lindell Blvd, Suite 420 St. Louis MO 63108-3927 |
| Mailing Address |
Campus Box 8233 4625 Lindell Blvd, Suite 420 St. Louis MO 63108 |
| Practice Telephone | 3147472555 |
| Practice Fax Number | 3147472555 |
| Mailing Telephone | (314) 747-9588 |
| Mailing Fax Number | 3147472521 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2017-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2017006728 | MO | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
2017006728 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
2017006728 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699397687 | Justin Nicholas Roth | Chiropractor | 21450 Highway 32 Ste A, Sainte Genevieve, MO 63670-8814 | 2020-05-12 |
| 1518490929 | Justin Roth | Pharmacist | 10010 Campus Point Dr # An102, San Diego, CA 92121-1518 | 2017-04-04 |
| 1104065515 | Justin Roth | Chiropractor | 82 Wolcott Hill Rd, Wethersfield, CT 06109-1243 | 2009-02-09 |
| 1316410202 | Justin Roth | Counselor | 246 S Chestnut St, Ravenna, OH 44266-3055 | 2019-01-03 |
| 1790096626 | Justin Michael Roth | Social Worker | 550 N Reo St, Suite 300, Tampa, FL 33609-1061 | 2010-06-25 |
| 1104827930 | Justin Lee Roth | Dentist | 5929 Constitution Ave, Colorado Springs, CO 80915-1211 | 2005-08-02 |
| Street Address |
4625 LINDELL BLVD, SUITE 420 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63108-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922528249 | Chikezie Okeagu | Orthopaedic Surgery | 621 South New Ballas, St. Louis, MO 63141 | 2017-06-27 |
| 1669734851 | Vince J Lai | Orthopaedic Surgery | 845 North New Ballas Ct, 2nd Floor, St. Louis, MO 63141-7169 | 2012-06-13 |
| 1770859290 | Ronald Eugene Hoffmann | Orthopaedic Surgery | 750 S. Hanley, U300, St. Louis, MO 63105 | 2012-03-29 |
| 1427244482 | Farmington Clinic Company LLC | Orthopaedic Surgery | Post Office Box 504354, St. Louis, St. Louis, MO 63150-0001 | 2007-09-24 |
| 1184710709 | Aesthetic and Hand Surgery | Orthopaedic Surgery | 333 S. Kirkwood Rd., Suite 203, St. Louis, MO 63122 | 2006-10-04 |
| 1174618722 | Margaret Mary Rich | Orthopaedic Surgery | 2001 South Lindbergh Boulevard, St. Louis, MO 63131 | 2006-10-03 |
| 1881700607 | David D Greenberg | Orthopaedic Surgery | 3635 Vista Ave, St. Louis University, 7th Floor Desloge Towers, Dept of Orthopaedic Surgery, St. Louis, MO 63110 | 2006-08-22 |
| 1083609614 | Keith J. Odegard | Orthopaedic Surgery | 12855 North Forty Drive, Suite 125, St. Louis, MO 63141 | 2005-09-20 |
| 1326049636 | Michael P. Nogalski | Orthopaedic Surgery | 1050 Old Des Peres Rd., Suite 100, St. Louis, MO 63131-1865 | 2005-08-09 |
| 1124548730 | Daniel Asher Bechtold | Orthopaedic Surgery | 1 Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2017-06-23 |
| Find all providers in ST. LOUIS | ||||
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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.