JORDAN ISAAC ROTH (NPI# 1649596875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649596875 |
| Entity Type | Individual |
| Full Name | JORDAN ISAAC ROTH |
| Credential | M.D. |
| Practice Address |
5555 Ne Elam Young Pkwy Hillsboro OR 97124-6452 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032161600 |
| Practice Fax Number | 5032161610 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD157018 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500653994 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Ohsu 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 5034948211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497317465 | Jordan Aaron Roth | Dentist | 29001 Cedar Rd Ste 670, Lyndhurst, OH 44124-6501 | 2019-07-01 |
| Street Address |
5555 NE ELAM YOUNG PKWY |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-6452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659339505 | Christine F. Legler | Physician Assistant | 5555 Ne Elam Young Pkwy, Providence Medical Group - Orenco, Hillsboro, OR 97124-6452 | 2006-05-02 |
| 1083227805 | Lindsay S Moore | Psychologist | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2020-08-31 |
| 1245617158 | Tira Elizabeth Nesset | Nurse Practitioner | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2015-04-29 |
| 1952798159 | Sarah Rachel Garey | Family Medicine | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2015-04-25 |
| 1194126748 | Kristine Samuelson | Physical Therapist | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2014-09-12 |
| 1902217813 | Caroline Barrett | Family Medicine | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2014-05-13 |
| 1679913735 | William Ward Cuff | Family Medicine | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2013-07-02 |
| 1427258839 | Susan Elizabeth Braukmann | Physical Therapist | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2007-07-23 |
| 1073713749 | Jessica Anne Shelton | Physical Therapist | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2007-07-20 |
| 1598963654 | Beth Eliese Gore | Physical Therapist | 5555 Ne Elam Young Pkwy, Orenco Rehab Services, Hillsboro, OR 97124-6452 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336569755 | Fredric Leroy Melton | Family Medicine | 10738 Business 21, Hillsboro, MO 63050-5075 | 2014-04-24 |
| 1992053391 | Robert George Franz | Family Medicine | 312 S. Kennedy, Hillsboro, KS 67063-1822 | 2012-08-16 |
| 1467728402 | David S Ayres | Family Medicine | 6320 Sr 138, Hillsboro, OH 45133-7754 | 2012-03-23 |
| 1225325210 | Jobeth E. B. Lee | Family Medicine | 435 W Walnut St, Hillsboro, OH 45133-1337 | 2011-06-29 |
| 1427341783 | Heather Marie Derington | Family Medicine | 117 Jane Ln, Hillsboro, TX 76645-2673 | 2011-05-19 |
| 1134412794 | Morgan Mellisande Lisner | Family Medicine | 6355 Ne Cornell Rd Ste 100, Hillsboro, OR 97124-5434 | 2011-05-16 |
| 1750688404 | Kristen E Flemmer Md PC | Family Medicine | 333 Se 7th Ave Ste 5550, Hillsboro, OR 97123-5193 | 2011-02-15 |
| 1912136011 | Hina Ahmad Khan | Family Medicine | 18610 Nw Cornell Rd Ste 300, Hillsboro, OR 97124-9206 | 2009-07-09 |
| 1316186752 | John Meade Johnson | Family Medicine | 210 Garland Dr, Hillsboro, TX 76645-2351 | 2009-02-09 |
| 1275780371 | Cah Acquisition Company 5 LLC | Family Medicine | 101 Industrial Road, Hillsboro, KS 67063 | 2008-08-20 |
| Find all providers in HILLSBORO | ||||
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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.