George J Roth, PA-C - Physician Assistant in Fruitland, ID

George J Roth, PA-C is a Physician Assistant based in Fruitland, Idaho. George J Roth is licensed to practice in Idaho (license number PA-97) and his current practice location is 1210 Nw 16th St, Fruitland, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 452-8600.

NPI number for George J Roth is 1073720124 and his current mailing address is 190 E Bannock St, Boise, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073720124.

Contact Information

George J Roth, PA-C
1210 Nw 16th St,
Fruitland, ID 83619-2202
(208) 452-8600
(208) 452-8601



Provider's Profile

Full NameGeorge J Roth
GenderMale
SpecialityPhysician Assistant
Location1210 Nw 16th St, Fruitland, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073720124
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 09/13/2012

Medical Identifiers

Medical identifiers for George J Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073720124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-97 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. George J Roth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
George J Roth, PA-C
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2222
George J Roth, PA-C
1210 Nw 16th St,
Fruitland, ID 83619-2202

Ph: (208) 452-8600

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› Verified 9 days ago


Physician Assistant Nurses in Fruitland, ID

Tea Hasanovic, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Whitley Dr, Fruitland, ID 83619
Phone: 208-452-5999    
Charles Edward Brioschi Jr., PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 910 Nw 16th Street, Ste 205, Fruitland, ID 83619
Phone: 208-452-3111    Fax: 208-452-3666
Jaclyn R Hope,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1210 Nw 16th St, Fruitland, ID 83619
Phone: 208-452-8600    
Thad W Wilkey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Whitley Dr, Fruitland, ID 83619
Phone: 208-452-5999    Fax: 208-452-4499
Mrs. Crysta Kimes, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619
Phone: 208-452-8000    
Victor M Ishida, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619
Phone: 208-452-8050    Fax: 208-452-8055

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