DR. AMELIA BOGART ROTH (NPI# 1659516557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659516557 |
| Entity Type | Individual |
| Full Name | DR. AMELIA BOGART ROTH |
| Credential | M.D. |
| Practice Address |
901 E 18th Ave Eugene OR 97403-1354 |
| Practice Telephone | 5413463575 |
| Mailing Telephone | 5413463575 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD155302 | OR | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD155302 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICAL LICENSE | MD155302 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5034185170 |
| Street Address |
901 E 18TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97403-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518985274 | Janet Sue Lee | Physical Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2006-07-18 |
| 1235789033 | Jillian Harrison | Occupational Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2019-09-13 |
| 1508327388 | Kristin Gabaldon | Occupational Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2019-03-26 |
| 1902393978 | Kylee Marie Miller | Psychologist | 901 E 18th Ave, Eugene, OR 97403 | 2018-04-16 |
| 1396105235 | Tara Michelle Poole | Physical Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2016-03-04 |
| 1578930038 | Dawn Brohard | Physical Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2015-08-31 |
| 1770994527 | Hannah Oh | Speech-Language Pathologist | 901 E 18th Ave, Eugene, OR 97403-1352 | 2014-05-14 |
| 1275962078 | Colene Stoernell | Dietitian, Registered | 901 E 18th Ave, Eugene, OR 97403-1354 | 2013-11-02 |
| 1518221639 | Erin Brandenburg | Occupational Therapist | 901 E 18th Ave, Eugene, OR 97403-1354 | 2012-07-03 |
| 1174889596 | University Professional Services | General Practice | 901 E 18th Ave, Eugene, OR 97403-1354 | 2012-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1407361207 | Cynthia Lorraine Mort | Massage Therapist | 1904 Garden Ave, Suite 204, Eugene, OR 97403 | 2017-12-04 |
| 1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
| 1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
| 1982862108 | Jeannie E Edwards | Massage Therapist | 1624 E 23rd, Eugene, OR 97403 | 2008-05-23 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1396963278 | Kathleen Wiley | Internal Medicine | 1590 E. 13 Th St., University of Oregon Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1376761908 | Jan Elizabeth Halvorson | Dentist | University of Oregon Health Center, 1590 E 19th Ave, Eugene, OR 97403 | 2007-04-20 |
| 1295873917 | Sylvia Bertha Robinson Weisshaupt | Counselor | 2170 Elk Avenue, Eugene, OR 97403 | 2007-02-02 |
| 1528134681 | Patricia Anne Wyss | Nurse Practitioner | 3579 Franklin Boulevard, Eugene, OR 97403 | 2006-11-28 |
| Find all providers in zip 97403 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215963160 | Robert E Nickel | Pediatrics | 901 E. 18th St, Eugene, OR 97403-5254 | 2006-06-23 |
| 1245455450 | Randall Alan Phelps | Pediatrics | 901 E 18th Ave, Eugene, OR 97403-1354 | 2007-04-14 |
| 1770643066 | Ronda M Roberts | Pediatrics | 1639 E 19th Ave, Eugene, OR 97403-1906 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902109291 | Dolores Orfanakis | Pediatrics | 18650 Stafford Rd, Lake Oswego, OR 97034-7662 | 2010-12-08 |
| 1477616845 | Charlene Sabin | Pediatrics | 5441 Sw Macadam Ave Ste 200, Portland, OR 97239-3822 | 2006-12-18 |
| 1558430512 | Lawrence T Krupa | Pediatrics | 18650 Nw Cornell Rd Suite 315, Hillsboro, OR 97124-9712 | 2006-11-06 |
| 1285604173 | Donna K Kirchoff | Pediatrics | 1675 Sw Marlow Ave, Ste 200, Portland, OR 97225-5104 | 2006-01-24 |
| 1467441006 | Debra L. Koutnik | Pediatrics | 628 N Main St, Ashland, OR 97520-1710 | 2005-10-17 |
| 1114116969 | Michele Raddish | Pediatrics | 830 Ne 47th Ave, Providence Neurodevelopmental Center for Children, Portland, OR 97213 | 2007-10-17 |
| 1700077088 | James C Ledbetter | Pediatrics | 1510 Division St., Sutie 280, Oregon City, OR 97045 | 2007-08-05 |
| 1457579914 | Gisela Porras Serna | Pediatrics | 2801 N Gantenbein Ave Ste 2225, Portland, OR 97227-1623 | 2007-04-23 |
| 1568680239 | Martine Richardson Sacks | Pediatrics | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2007-04-20 |
| 1376605634 | Robert Herman Verhoogen | Pediatrics | 833 Nw Buchanan Ave, Suite 9, Corvallis, OR 97330-6217 | 2006-12-14 |
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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.